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General NPI Number Information
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NPI Number | 1225163413
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Entity Type | Organization
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Legal Business Name | THE CENTER FOR BONE AND JOINT DISEASE, PA
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 01/27/2009
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Provider Practice Location Address
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Address Line | 7544 JACQUE RD
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City | HUDSON
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State | FL
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Zip | 34667-7162
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Country | US
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Telephone | 727-697-2200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 628213
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City | ORLANDO
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State | FL
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Zip | 32862-8213
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Country | US
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Telephone | 727-697-2200
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. JENNIFER MONTANO
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Credential |
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Telephone | 352-597-7802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | FL
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Taxonomy #4
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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 | FL
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