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General NPI Number Information
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NPI Number | 1881052538
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Entity Type | Organization
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Legal Business Name | ORTHO SCIENCE SOLUTIONS, LLC
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Dates
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Enumeration Date | 02/09/2016
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Last Update Date | 02/09/2016
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Provider Practice Location Address
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Address Line | 24123 BOERNE STAGE RD
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City | SAN ANTONIO
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State | TX
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Zip | 78255-9403
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Country | US
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Telephone | 210-724-0505
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Fax |
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Provider Business Mailing Address
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Address Line | 515 PENSTEMON TRL
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City | SAN ANTONIO
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State | TX
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Zip | 78256-1630
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Country | US
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Telephone | 210-724-0505
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIFFANY D GOLD
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Credential | LOT, MHA
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Telephone | 210-724-0505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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