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General NPI Number Information
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NPI Number | 1043514953
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Entity Type | Organization
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Legal Business Name | NEUROORTHOGROUP, PA
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Dates
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Enumeration Date | 01/06/2011
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Last Update Date | 01/06/2011
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Provider Practice Location Address
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Address Line | 2901 W CYPRESS CREEK RD SUITE 123-124
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-1730
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Country | US
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Telephone | 954-582-2260
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Fax | 954-582-2808
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Provider Business Mailing Address
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Address Line | 2901 W CYPRESS CREEK RD SUITE 123-124
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-1730
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Country | US
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Telephone | 954-582-2260
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Fax | 954-582-2808
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Authorized Official
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Title or Position | PVD
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Name | DR. STEVEN GELBARD
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Credential | M.D.
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Telephone | 954-582-2260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | ME59560
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License Number State | FL
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