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General NPI Number Information
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NPI Number | 1932979283
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Entity Type | Organization
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Legal Business Name | ORTHOCARE LLC
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 161 AVE PONCE DE LEON STE 303
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City | SAN JUAN
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State | PR
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Zip | 00917-1254
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Country | US
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Telephone | 787-903-7470
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Fax |
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Provider Business Mailing Address
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Address Line | 161 AVE PONCE DE LEON STE 303
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City | SAN JUAN
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State | PR
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Zip | 00917-1254
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Country | US
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Telephone | 787-903-7470
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Fax | 787-474-5215
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Authorized Official
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Title or Position | PRESIDENT
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Name | AYLEN LLERENA GARCIA
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Credential |
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Telephone | 787-903-7470
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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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