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General NPI Number Information
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NPI Number | 1114168556
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC PHYSICIANS OF ANNAPOLIS LLC
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Dates
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Enumeration Date | 03/16/2009
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Last Update Date | 12/23/2022
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Provider Practice Location Address
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Address Line | 4175 N HANSON CT SUITE 302
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City | BOWIE
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State | MD
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Zip | 20716-3179
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Country | US
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Telephone | 410-268-8862
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Fax | 410-268-0380
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Provider Business Mailing Address
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Address Line | 2000 MEDICAL PKWY SUITE 101
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3742
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Country | US
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Telephone | 410-268-8862
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Fax | 410-268-0380
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. MARK R CHAPUT
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Credential |
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Telephone | 410-267-5574
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | A2505
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | A2505
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License Number State | MD
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