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General NPI Number Information
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NPI Number | 1518765320
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Entity Type | Organization
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Legal Business Name | ORTHOLONESTAR, PLLC
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 7718 GARTH ROAD
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City | BAYTOWN
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State | TX
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Zip | 77521
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Country | US
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Telephone | 713-347-9031
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Fax |
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Provider Business Mailing Address
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Address Line | 7401 MAIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-4509
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Country | US
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Telephone | 713-799-2300
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Fax |
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Authorized Official
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Title or Position | VP QUALITY & REGULATORY AFFAIRS
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Name | JENNIFER KINMAN
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Credential |
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Telephone | 512-415-8346
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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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