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General NPI Number Information
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NPI Number | 1740544451
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Entity Type | Organization
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Legal Business Name | ORTHOTECH L.L.C.
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Dates
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Enumeration Date | 06/27/2012
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Last Update Date | 06/27/2012
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Provider Practice Location Address
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Address Line | 1422 CALLE MARBELLA MANS. DE VISTAMAR MARINA
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City | CAROLINA
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State | PR
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Zip | 00983
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Country | US
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Telephone | 787-568-5832
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4310
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City | CAROLINA
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State | PR
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Zip | 00984-4310
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Country | US
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Telephone | 787-568-5832
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MERARI CRUZ
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Credential |
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Telephone | 787-568-5832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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