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General NPI Number Information
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NPI Number | 1518025527
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Entity Type | Organization
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Legal Business Name | FOUNDATION FOR ORTHOPEDIC, ATHLETIC & RECONSTRUCTIVE RESEARCH
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 10/26/2015
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Provider Practice Location Address
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Address Line | 6400 FANNIN ST STE 1700
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City | HOUSTON
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State | TX
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Zip | 77030-1526
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Country | US
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Telephone | 713-799-2429
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Fax | 713-790-0505
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Provider Business Mailing Address
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Address Line | 6400 FANNIN ST STE 1700
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City | HOUSTON
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State | TX
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Zip | 77030-1526
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Country | US
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Telephone | 713-799-2429
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Fax | 713-790-0505
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. LELAND A. WINSTON
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Credential | M. D.
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Telephone | 713-799-2429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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