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General NPI Number Information
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NPI Number | 1568654697
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Entity Type | Organization
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Legal Business Name | DVS ORTHOPAEDICS, INC.
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 08/13/2007
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Provider Practice Location Address
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Address Line | 1486 E SKYLINE DR STE 202
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City | OGDEN
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State | UT
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Zip | 84405-4859
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Country | US
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Telephone | 801-475-5683
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Fax |
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Provider Business Mailing Address
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Address Line | 1486 E SKYLINE DR STE 202
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City | OGDEN
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State | UT
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Zip | 84405-4859
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Country | US
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Telephone | 801-475-5683
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Fax |
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Authorized Official
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Title or Position | PHYSICAN
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Name | DIANE E VON STEIN
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Credential | MD
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Telephone | 435-640-8775
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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 | 6071688-1205
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License Number State | UT
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