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General NPI Number Information
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NPI Number | 1588502371
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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 | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 21820 KINGSLAND BLVD STE 101A
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City | KATY
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State | TX
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Zip | 77450-2507
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Country | US
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Telephone | 713-370-6411
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Fax | 855-576-4893
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Provider Business Mailing Address
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Address Line | 4700 SETON CENTER PKWY STE 115
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City | AUSTIN
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State | TX
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Zip | 78759-5753
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Country | US
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Telephone | 346-440-0645
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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 | 346-447-9004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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