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General NPI Number Information
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NPI Number | 1760402168
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Entity Type | Individual
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Provider Name | BRUCE CURTIS ORNSTEIN D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 10/29/2012
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Provider Practice Location Address
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Address Line | 609 5TH STREET SW SUITE 4
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City | LIVE OAK
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State | FL
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Zip | 32064-2239
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Country | US
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Telephone | 386-362-2555
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Fax | 352-362-2557
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Provider Business Mailing Address
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Address Line | PO BOX 358870
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City | GAINESVILLE
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State | FL
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Zip | 32635-8870
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Country | US
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Telephone | 386-362-2555
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Fax | 386-362-2557
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO2359
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License Number State | FL
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