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General NPI Number Information
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NPI Number | 1205796679
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Entity Type | Organization
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Legal Business Name | DEARBORN & ASSOCIATES INSTITUTE FOR JOINT RESTORATION
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Dates
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Enumeration Date | 11/17/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 3329 G ST STE A
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City | MERCED
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State | CA
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Zip | 95340-1005
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Country | US
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Telephone | 650-325-1395
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Fax |
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Provider Business Mailing Address
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Address Line | 1706 EL CAMINO REAL STE 101
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City | MENLO PARK
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State | CA
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Zip | 94027-4110
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Country | US
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Telephone | 650-325-1395
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | JOHN TERRY DEARBORN
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Credential | MD
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Telephone | 650-325-1395
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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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