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General NPI Number Information
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NPI Number | 1669254215
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Entity Type | Organization
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Legal Business Name | WELLINGTON ORTHOPEDIC INSTITUTE, LLC
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Dates
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Enumeration Date | 10/18/2023
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 10115 FOREST HILL BLVD STE 102
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City | WELLINGTON
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State | FL
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Zip | 33414-6178
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Country | US
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Telephone | 561-670-2010
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Fax | 561-670-2319
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Provider Business Mailing Address
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Address Line | 10115 FOREST HILL BLVD STE 102
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City | WELLINGTON
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State | FL
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Zip | 33414-6178
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Country | US
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Telephone | 561-670-2010
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Fax | 561-670-2319
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Authorized Official
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Title or Position | BUSINESS CONSULTANT
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Name | MRS. HEATHER HECKMAN
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Credential |
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Telephone | 757-375-8100
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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