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NPI 1780646950

NPI 1780646950 : ORTHOPAEDIC CARE SPECIALIST PL : NORTH PALM BEACH, FL

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General NPI Number Information
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    NPI Number           |    1780646950
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    Entity Type          |    Organization 
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    Legal Business Name  |    ORTHOPAEDIC CARE SPECIALIST PL 
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Dates
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    Enumeration Date     |    04/04/2006
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    Last Update Date     |    12/20/2012
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Provider Practice Location Address
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    Address Line         |    733 US HIGHWAY 1 
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    City                 |    NORTH PALM BEACH
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    State                |    FL
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    Zip                  |    33408-4513
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    Country              |    US
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    Telephone            |    561-840-1090
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    733 US HIGHWAY 1 
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    City                 |    NORTH PALM BEACH
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    State                |    FL
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    Zip                  |    33408-4513
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    Country              |    US
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    Telephone            |    561-840-1090
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    Fax                  |    561-840-0791
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |    MRS. LUO-ANN  ABEL 
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    Credential           |    
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    Telephone            |    561-840-1090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    
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    License Number State |    
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