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NPI 1164031456

NPI 1164031456 : ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1164031456
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    Entity Type          |    Organization 
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    Legal Business Name  |    ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC 
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Dates
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    Enumeration Date     |    07/23/2020
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    Last Update Date     |    11/19/2025
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Provider Practice Location Address
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    Address Line         |    9219 E HIDDEN SPUR TRL STE 100 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85255-6708
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    Country              |    US
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    Telephone            |    480-585-6810
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    Fax                  |    480-585-6910
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Provider Business Mailing Address
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    Address Line         |    PO BOX 80217 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85060-0217
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    Country              |    US
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    Telephone            |    602-385-2115
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    Fax                  |    480-418-3323
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Authorized Official
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    Title or Position    |    AUTHORIZED OFFICIAL
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    Name                 |     RAJAN DILIP BHATT 
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    Credential           |    
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    Telephone            |    602-385-2115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR0400X
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    Taxonomy Name        |    Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QM1300X
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    Taxonomy Name        |    Multi-Specialty Clinic/Center
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    License Number       |    
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    License Number State |    
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