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General NPI Number Information
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NPI Number | 1598087629
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Entity Type | Organization
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Legal Business Name | ORTHOPEDICS UNLIMITED SURGICAL PRODUCTS, INC
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Dates
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Enumeration Date | 02/16/2010
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Last Update Date | 02/16/2010
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Provider Practice Location Address
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Address Line | 12604 WOODRUFF DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80921-5700
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Country | US
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Telephone | 719-237-4086
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 909
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City | COLORADO SPRINGS
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State | CO
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Zip | 80901-0909
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Country | US
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Telephone | 719-576-4171
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROBERT EARL HALE III
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Credential |
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Telephone | 719-237-4086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number |
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License Number State |
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