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General NPI Number Information
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NPI Number | 1134245491
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Entity Type | Organization
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Legal Business Name | CALHOUN ORTHOPAEDICS, INC.
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 110 HOSPITAL DR
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City | CALHOUN
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State | GA
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Zip | 30701-2079
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Country | US
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Telephone | 706-625-3966
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Fax | 706-625-8878
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Provider Business Mailing Address
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Address Line | 110 HOSPITAL DR
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City | CALHOUN
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State | GA
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Zip | 30701-2079
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Country | US
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Telephone | 706-625-3966
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Fax | 706-625-8878
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Authorized Official
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Title or Position | OWNER
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Name | DR. GERALD W KING
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Credential | MD
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Telephone | 706-625-3966
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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 | 037254
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License Number State | GU
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