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General NPI Number Information
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NPI Number | 1003974353
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC SURGERY, P.C.
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 06/23/2010
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Provider Practice Location Address
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Address Line | 771 OLD NORCROSS RD SUITE 155
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-4386
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Country | US
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Telephone | 678-957-3040
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Fax | 678-957-3047
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Provider Business Mailing Address
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Address Line | 771 OLD NORCROSS RD SUITE 155
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-4386
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Country | US
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Telephone | 678-957-3040
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Fax | 678-957-3047
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | LUCY M. DENZIN
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Credential | MHA
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Telephone | 678-957-3040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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