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General NPI Number Information
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NPI Number | 1063594539
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Entity Type | Organization
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Legal Business Name | RUSSELLVILLE MUSCULOSKELETAL CENTER INC.
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 02/16/2010
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Provider Practice Location Address
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Address Line | 13150 HIGHWAY 43 SUITE 12
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City | RUSSELLVILLE
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State | AL
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Zip | 35653-4558
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Country | US
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Telephone | 256-332-6215
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Fax | 256-331-3430
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Provider Business Mailing Address
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Address Line | PO BOX 57
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City | RUSSELLVILLE
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State | AL
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Zip | 35653-0057
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Country | US
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Telephone | 256-332-6215
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Fax | 256-331-3430
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Authorized Official
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Title or Position | MD PRESIDENT
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Name | DR. SAID GOTO OSMAN
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Credential | MD
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Telephone | 256-332-6215
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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 | 27698
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License Number State | AL
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