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General NPI Number Information
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NPI Number | 1710808605
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Entity Type | Organization
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Legal Business Name | BW ORTHOPEDIC & SPORTS MEDICINE PRACTICE LLC
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 3500 BLUE LAKE DR STE 495
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City | VESTAVIA
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State | AL
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Zip | 35243-1975
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Country | US
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Telephone | 256-283-9050
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Fax |
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Provider Business Mailing Address
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Address Line | 1335 SLIGH BLVD FL 3
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City | ORLANDO
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State | FL
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Zip | 32806-3901
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Country | US
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Telephone | 407-481-7174
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Fax |
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Authorized Official
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Title or Position | SR. DIRECTOR
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Name | ANGELINA CEDENO
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Credential |
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Telephone | 407-481-7174
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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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