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General NPI Number Information
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NPI Number | 1205012358
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Entity Type | Organization
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Legal Business Name | DAVID TUEL M.D. ORTHOPEDICS LLC
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Dates
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Enumeration Date | 01/18/2008
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Last Update Date | 01/18/2008
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Provider Practice Location Address
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Address Line | 880 MEMORIAL DR
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City | OAKLAND
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State | MD
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Zip | 21550-5101
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Country | US
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Telephone | 301-334-4041
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Fax | 301-334-4572
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Provider Business Mailing Address
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Address Line | 880 MEMORIAL DR
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City | OAKLAND
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State | MD
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Zip | 21550-5101
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Country | US
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Telephone | 301-334-4041
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Fax | 301-334-4572
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Authorized Official
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Title or Position | OWNER
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Name | DAVID ELMORE TUEL II
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Credential | M.D.
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Telephone | 301-334-4041
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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 | D42016
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License Number State | MD
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