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General NPI Number Information
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NPI Number | 1053533166
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Entity Type | Organization
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Legal Business Name | NANTICOKE ORTHOPEDICS
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 808 MIDDLEFORD RD
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City | SEAFORD
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State | DE
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Zip | 19973-3650
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Country | US
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Telephone | 302-629-5501
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Fax |
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Provider Business Mailing Address
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Address Line | 808 MIDDLEFORD RD
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City | SEAFORD
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State | DE
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Zip | 19973-3650
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Country | US
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Telephone | 302-629-5501
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | HARRY M FREEDMAN
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Credential | M.D.
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Telephone | 302-629-5501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 1989018018
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License Number State | DE
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