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General NPI Number Information
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NPI Number | 1669707394
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Entity Type | Organization
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Legal Business Name | BRACE MED ORTHOPEDICS INC
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Dates
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Enumeration Date | 10/14/2009
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Last Update Date | 10/16/2009
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Provider Practice Location Address
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Address Line | 440 N STATE ROAD 7 SUITE F
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-3504
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Country | US
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Telephone | 561-793-8850
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Fax | 561-753-3138
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Provider Business Mailing Address
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Address Line | 1920 PALM BEACH LAKES BLVD SUITE # 104
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-3512
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Country | US
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Telephone | 561-296-1888
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Fax | 561-296-1890
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MICHAEL SCOTT STEEN
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Credential |
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Telephone | 561-296-1888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | ORF201
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License Number State | FL
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