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General NPI Number Information
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NPI Number | 1831228006
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Entity Type | Organization
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Legal Business Name | ORTHOMOTION TECHNOLOGY INC
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 163 E BETHEL DR
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City | BOURBONNAIS
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State | IL
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Zip | 60914-1456
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Country | US
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Telephone | 888-697-2210
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 HATCHER LN
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City | COLUMBIA
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State | TN
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Zip | 38401-3530
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Country | US
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Telephone | 888-697-2210
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Fax | 815-694-2022
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Authorized Official
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Title or Position | OWNER
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Name | DAVID R BAXTER
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Credential |
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Telephone | 931-375-1775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 203.000878
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License Number State | IL
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