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General NPI Number Information
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NPI Number | 1932915360
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Entity Type | Organization
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Legal Business Name | OVATION HAND INSTITUTE - FL P.A.
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 6821 PALISADES PARK CT STE 8
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City | FORT MYERS
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State | FL
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Zip | 33912-7131
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Country | US
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Telephone | 844-432-1600
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Fax | 262-302-4075
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Provider Business Mailing Address
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Address Line | 2593 DEVELOPMENT DR STE 270
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City | GREEN BAY
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State | WI
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Zip | 54311-5999
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Country | US
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Telephone | 844-432-1600
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Fax | 262-302-4075
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | TARRAH O'DONNELL
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Credential | PA-C
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Telephone | 844-432-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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