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General NPI Number Information
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NPI Number | 1033114301
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Entity Type | Organization
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Legal Business Name | HANOVER ORTHOPAEDIC ASSOCIATES,INC
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 01/11/2010
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Provider Practice Location Address
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Address Line | 207 BLOOMING GROVE RD
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City | HANOVER
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State | PA
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Zip | 17331-7917
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Country | US
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Telephone | 717-632-5259
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Fax | 717-632-2422
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Provider Business Mailing Address
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Address Line | 207 BLOOMING GROVE RD
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City | HANOVER
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State | PA
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Zip | 17331-7917
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Country | US
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Telephone | 717-632-5259
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Fax | 717-632-2422
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES H ELLISON
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Credential | MD
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Telephone | 717-632-5259
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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 | 43590
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License Number State | PA
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