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General NPI Number Information
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NPI Number | 1043266604
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Entity Type | Organization
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Legal Business Name | TRI-COUNTY ORTHOPAEDIC,P.A.
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 1A REGULUS DR
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-2427
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Country | US
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Telephone | 856-589-7770
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Fax | 856-589-3665
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Provider Business Mailing Address
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Address Line | 1A REGULUS DR
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-2427
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Country | US
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Telephone | 856-589-7770
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Fax | 856-589-3665
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | TRICIA REDDY
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Credential |
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Telephone | 856-589-7770
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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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