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General NPI Number Information
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NPI Number | 1558465948
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Entity Type | Organization
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Legal Business Name | ORTHO HIP CHICKS, LLC
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 09/14/2010
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Provider Practice Location Address
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Address Line | 1061 MAITLAND CNT COMMONS BLVD STE 201
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City | MAITLAND
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State | FL
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Zip | 32751-7435
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Country | US
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Telephone | 407-699-5555
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Fax | 407-210-8012
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Provider Business Mailing Address
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Address Line | 1061 MAITLAND CNT COMMONS BLVD STE 201
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City | MAITLAND
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State | FL
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Zip | 32751-7435
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Country | US
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Telephone | 407-699-5555
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Fax | 407-210-8012
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Authorized Official
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Title or Position | PRESIDENT
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Name | CAROL BRAMBLETT
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Credential |
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Telephone | 407-699-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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