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General NPI Number Information
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NPI Number | 1710211008
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Entity Type | Organization
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Legal Business Name | ORTHO F-X, LLC
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Dates
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Enumeration Date | 09/20/2009
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Last Update Date | 09/20/2009
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Provider Practice Location Address
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Address Line | 3562 HOWARD AVE #C
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3689
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Country | US
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Telephone | 866-489-7268
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Fax | 562-366-7012
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Provider Business Mailing Address
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Address Line | 3562 HOWARD AVE #C
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3689
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Country | US
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Telephone | 866-489-7268
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Fax | 562-366-7012
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MS. VANESE M DANIELS
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Credential |
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Telephone | 866-489-7268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 47561
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License Number State | CA
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