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General NPI Number Information
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NPI Number | 1780003202
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Entity Type | Organization
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Legal Business Name | TRILOGY ORTHOPEDIC SUPPLY, INC.
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Dates
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Enumeration Date | 04/11/2014
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Last Update Date | 06/25/2014
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Provider Practice Location Address
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Address Line | 9363 E D AVE SUITE 102
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City | RICHLAND
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State | MI
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Zip | 49083-9497
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Country | US
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Telephone | 269-364-1076
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Fax |
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Provider Business Mailing Address
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Address Line | 9363 E D AVE SUITE 102
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City | RICHLAND
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State | MI
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Zip | 49083-9497
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Country | US
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Telephone | 269-629-4853
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. THOMAS M OSTROWSKI
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Credential | D.C.
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Telephone | 269-629-4853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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