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General NPI Number Information
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NPI Number | 1669718672
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Entity Type | Organization
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Legal Business Name | LRMC ORTHOPEDICS, INC.
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Dates
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Enumeration Date | 12/19/2012
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Last Update Date | 12/19/2012
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Provider Practice Location Address
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Address Line | 200 MEDICAL PKWY SUITE 130
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City | LAKEWAY
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State | TX
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Zip | 78738-1782
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Country | US
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Telephone | 512-654-2677
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Fax |
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Provider Business Mailing Address
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Address Line | 100 MEDICAL PARKWAY
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City | LAKEWAY
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State | TX
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Zip | 78738-1782
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Country | US
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Telephone | 512-571-5140
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. DAVID J. KREYE
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Credential |
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Telephone | 512-571-5140
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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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