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General NPI Number Information
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NPI Number | 1003616400
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Entity Type | Organization
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Legal Business Name | ORTHOBIOLOGICS ASSOCIATES MASS, LLC
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Dates
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Enumeration Date | 03/14/2025
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 1100 WASHINGTON ST SUITE 203
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City | DORCHESTER
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State | MA
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Zip | 02124
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Country | US
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Telephone | 617-221-3929
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Fax | 352-398-1233
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Provider Business Mailing Address
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Address Line | 5311 SPRING HILL DR
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City | SPRING HILL
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State | FL
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Zip | 34606
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Country | US
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Telephone | 352-415-3200
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Fax | 352-398-1233
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | CAROL ALDERMAN
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Credential | APRN
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Telephone | 352-415-3200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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