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General NPI Number Information
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NPI Number | 1174568232
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Entity Type | Organization
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Legal Business Name | TRI-STATE ORTHOPAEDICS & SPORTS MEDICINE, INC.
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 02/12/2021
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Provider Practice Location Address
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Address Line | 5900 CORPORATE DR SUITE 200
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City | PITTSBURGH
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State | PA
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Zip | 15237-7005
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Country | US
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Telephone | 412-369-4000
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Fax | 412-369-7667
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Provider Business Mailing Address
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Address Line | 5900 CORPORATE DR SUITE 200
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City | PITTSBURGH
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State | PA
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Zip | 15237-7005
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Country | US
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Telephone | 412-369-4000
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Fax | 412-369-7667
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Authorized Official
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Title or Position | MANAGING PHYSICIAN
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Name | DR. VICTOR J THOMAS
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Credential | MD
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Telephone | 412-369-4000
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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 |
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License Number State |
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