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General NPI Number Information
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NPI Number | 1528753381
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC TECHNICAL SERVICES LLC
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Dates
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Enumeration Date | 04/07/2023
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Last Update Date | 04/07/2023
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Provider Practice Location Address
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Address Line | 5901 E 7TH ST
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City | LONG BEACH
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State | CA
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Zip | 90822-5201
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Country | US
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Telephone | 562-826-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 7231 BOULDER AVE # 131
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City | HIGHLAND
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State | CA
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Zip | 92346-3313
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIO RODRIGUEZ
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Credential | OT-SC
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Telephone | 951-315-3132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZX2200X
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Taxonomy Name | Orthopedic Assistant
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License Number |
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License Number State |
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