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General NPI Number Information
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NPI Number | 1235213471
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Entity Type | Organization
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Legal Business Name | ROSS CENTER FOR ORTHOPEDICS, LLC
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 07/01/2008
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Provider Practice Location Address
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Address Line | 300 CREEK CROSSING BOULEVARD SUITE 307
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City | HAINESPORT
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State | NJ
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Zip | 08036
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Country | US
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Telephone | 609-267-2333
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Fax | 609-267-2533
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Provider Business Mailing Address
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Address Line | 300 CREEK CROSSING BOULEVARD SUITE 307
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City | HAINESPORT
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State | NJ
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Zip | 08036
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Country | US
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Telephone | 609-267-2333
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Fax | 609-267-2533
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Authorized Official
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Title or Position | OWNER
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Name | DR. LAURA E ROSS-ADAMS
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Credential | D.O.
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Telephone | 609-267-2333
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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 | 25MB06403200
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License Number State | NJ
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