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General NPI Number Information
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NPI Number | 1730229949
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Entity Type | Organization
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Legal Business Name | SPRING HILL BRACE AND LIMB, LLC
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 02/09/2018
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Provider Practice Location Address
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Address Line | 12126 CORTEZ BLVD
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City | BROOKSVILLE
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State | FL
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Zip | 34613-5575
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Country | US
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Telephone | 352-596-1957
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Fax | 352-596-1332
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Provider Business Mailing Address
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Address Line | 12126 CORTEZ BLVD
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City | BROOKSVILLE
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State | FL
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Zip | 34613-5575
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Country | US
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Telephone | 352-596-1967
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Fax | 352-596-1332
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TERRI LYNN FROUNFELTER
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Credential |
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Telephone | 352-596-1967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State | FL
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