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General NPI Number Information
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NPI Number | 1063393833
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Entity Type | Organization
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Legal Business Name | CENTERS FOR ADVANCED ORTHOPAEDICS, LLC
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 7500 IRON BAR LN STE 219
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City | GAINESVILLE
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State | VA
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Zip | 20155-3614
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Country | US
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Telephone | 703-393-1667
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Fax |
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Provider Business Mailing Address
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Address Line | 6707 DEMOCRACY BLVD STE 504
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City | BETHESDA
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State | MD
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Zip | 20817-1166
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Country | US
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Telephone | 301-637-8712
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | RYAN S MORTON
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Credential |
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Telephone | 240-425-4391
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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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