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General NPI Number Information
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NPI Number | 1487442836
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Entity Type | Organization
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Legal Business Name | ORTHOLEAN
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 470 JOHNSON RD STE 210
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City | WASHINGTON
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State | PA
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Zip | 15301-8944
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Country | US
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Telephone | 412-997-0494
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Fax |
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Provider Business Mailing Address
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Address Line | 470 JOHNSON RD STE 210
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City | WASHINGTON
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State | PA
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Zip | 15301-8944
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Country | US
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Telephone | 412-997-0494
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | THOMAS MONKO
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Credential |
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Telephone | 412-997-0494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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