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General NPI Number Information
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NPI Number | 1144609918
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Entity Type | Organization
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Legal Business Name | COLUMBIA ORTHOPAEDIC GROUP
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Dates
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Enumeration Date | 05/26/2015
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 1 S KEENE ST
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City | COLUMBIA
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State | MO
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Zip | 65201-7199
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Country | US
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Telephone | 573-443-2402
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Fax | 573-876-8666
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Provider Business Mailing Address
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Address Line | 1 S KEENE ST
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City | COLUMBIA
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State | MO
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Zip | 65201-7199
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Country | US
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Telephone | 573-443-2402
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Fax | 573-876-8666
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Authorized Official
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Title or Position | HEAD DOCTOR
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Name | DR. MARK ADAMS
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Credential | M.D
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Telephone | 573-443-2402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | R1H01
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License Number State | MO
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