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General NPI Number Information
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NPI Number | 1215111075
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Entity Type | Organization
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Legal Business Name | BICOUNTY ORTHOPEDIC SURGEONS, PC
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Dates
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Enumeration Date | 12/28/2007
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Last Update Date | 12/28/2007
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Provider Practice Location Address
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Address Line | 25625 SCHOENHERR RD
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City | WARREN
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State | MI
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Zip | 48089-1451
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Country | US
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Telephone | 586-759-4700
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Fax | 586-759-1504
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Provider Business Mailing Address
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Address Line | 25625 SCHOENHERR RD
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City | WARREN
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State | MI
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Zip | 48089-1451
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Country | US
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Telephone | 586-759-4700
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Fax | 586-759-1504
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Authorized Official
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Title or Position | SENIOR PARTNER/SURGEON
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Name | DR. STEVEN ACKER
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Credential | DO
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Telephone | 586-759-4700
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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 | SA007565
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License Number State | MI
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