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General NPI Number Information
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NPI Number | 1043276884
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC SOLUTIONS AND SPORTS MEDICINE CENTER PA
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Dates
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Enumeration Date | 04/21/2006
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Last Update Date | 05/04/2011
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Provider Practice Location Address
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Address Line | 721 TILGHMAN DR SUITE 100
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City | DUNN
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State | NC
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Zip | 28334-6063
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Country | US
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Telephone | 910-891-4202
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Fax | 910-891-2602
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Provider Business Mailing Address
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Address Line | 721 TILGHMAN DR SUITE 100
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City | DUNN
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State | NC
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Zip | 28334-6063
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Country | US
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Telephone | 910-891-4202
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Fax | 910-891-2602
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAYLAN R PARIKH
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Credential | MD
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Telephone | 910-891-4202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 9501044
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 9501044
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License Number State | NC
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