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General NPI Number Information
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NPI Number | 1770055337
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Entity Type | Organization
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Legal Business Name | FM ORTHOPEDICS LLC
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Dates
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Enumeration Date | 12/20/2018
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 17861 PRAIRIE SKY WAY
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City | EDMOND
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State | OK
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Zip | 73012-6628
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Country | US
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Telephone | 580-210-0040
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Fax | 405-330-9082
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Provider Business Mailing Address
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Address Line | 17861 PRAIRIE SKY WAY
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City | EDMOND
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State | OK
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Zip | 73012-6628
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Country | US
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Telephone | 580-210-0040
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Fax | 405-330-9082
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Authorized Official
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Title or Position | CEO
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Name | MUNAWAR ALI
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Credential | MD
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Telephone | 580-210-0040
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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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