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General NPI Number Information
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NPI Number | 1104182104
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Entity Type | Organization
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Legal Business Name | SCOSI ORTHOPEDICS INC
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Dates
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Enumeration Date | 04/04/2012
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Last Update Date | 04/10/2024
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Provider Practice Location Address
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Address Line | 18575 GALE AVE STE 278
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City | CITY OF INDUSTRY
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State | CA
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Zip | 91748-1385
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Country | US
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Telephone | 888-997-2674
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Fax |
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Provider Business Mailing Address
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Address Line | 18575 GALE AVE STE 278
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City | CITY OF INDUSTRY
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State | CA
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Zip | 91748-1385
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Country | US
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Telephone | 888-997-2674
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALLEN P. LU
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Credential | M.D.
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Telephone | 888-997-2674
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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 | A82726
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License Number State | CA
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