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General NPI Number Information
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NPI Number | 1053780924
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Entity Type | Organization
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Legal Business Name | ATLANTIC ORTHOPAEDICS PA
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Dates
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Enumeration Date | 09/21/2015
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Last Update Date | 09/21/2015
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Provider Practice Location Address
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Address Line | 314 FRANKLIN AVE STE 105B
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City | BERLIN
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State | MD
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Zip | 21811-1260
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Country | US
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Telephone | 410-641-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 314 FRANKLIN AVE STE 105B
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City | BERLIN
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State | MD
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Zip | 21811-1260
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Country | US
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Telephone | 410-641-1900
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. THOMAS BECK
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Credential | D.O.
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Telephone | 410-641-1900
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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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