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General NPI Number Information
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NPI Number | 1073616215
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Entity Type | Organization
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Legal Business Name | TRI-COUNTY ORTHOPAEDIC ASSOCIATES PLC
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 01/21/2011
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Provider Practice Location Address
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Address Line | 1314 E APPLE AVE
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City | MUSKEGON
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State | MI
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Zip | 49442-3759
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Country | US
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Telephone | 231-777-2568
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Fax | 231-773-4310
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Provider Business Mailing Address
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Address Line | 1314 E APPLE AVE
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City | MUSKEGON
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State | MI
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Zip | 49442-3759
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Country | US
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Telephone | 231-777-2568
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Fax | 231-773-4310
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MS. GLORIA M SLATER
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Credential |
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Telephone | 231-773-4509
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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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