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General NPI Number Information
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NPI Number | 1003148685
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Entity Type | Organization
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Legal Business Name | MEDICAL SPECIALISTS INC., PC
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Dates
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Enumeration Date | 02/05/2010
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Last Update Date | 02/28/2011
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Provider Practice Location Address
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Address Line | 9034 COLUMBIA AVE
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City | MUNSTER
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State | IN
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Zip | 46321-2905
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Country | US
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Telephone | 219-836-0296
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Fax | 219-836-0570
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Provider Business Mailing Address
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Address Line | 757-45TH STREET STE 201
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City | MUNSTER
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State | IN
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Zip | 46321
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Country | US
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Telephone | 219-934-2461
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Fax | 219-934-2478
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | ALEXANDER A STEMER
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Credential | MD
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Telephone | 219-934-2461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number |
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State | IN
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