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General NPI Number Information
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NPI Number | 1003954520
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC SPECIALTY CENTER
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 06/06/2014
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Provider Practice Location Address
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Address Line | 2700 QUARRY LAKE DRIVE SUITE 300
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City | BALTIMORE
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State | MD
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Zip | 21209-3746
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Country | US
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Telephone | 410-377-8900
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Fax | 410-377-0576
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Provider Business Mailing Address
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Address Line | 4 PARK CENTER COURT SUITE 102
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5613
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Country | US
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Telephone | 410-377-8900
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Fax | 410-377-0576
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Authorized Official
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Title or Position | CEO
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Name | MRS. HEIDI BELL
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Credential |
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Telephone | 410-377-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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