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General NPI Number Information
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NPI Number | 1124016175
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Entity Type | Organization
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Legal Business Name | CENTRAL ORTHOPEDICS PA
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Dates
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Enumeration Date | 10/12/2005
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 222 E CENTRAL AVE
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City | WINTER HAVEN
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State | FL
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Zip | 33880-6311
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Country | US
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Telephone | 863-299-5667
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Fax | 863-299-7722
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Provider Business Mailing Address
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Address Line | 222 E CENTRAL AVE
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City | WINTER HAVEN
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State | FL
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Zip | 33880-6311
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Country | US
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Telephone | 863-299-5667
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Fax | 863-299-7722
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. SHERRI L KNEZ
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Credential |
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Telephone | 863-299-5667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number |
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License Number State |
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