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General NPI Number Information
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NPI Number | 1235553942
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC CARE PHYSICIAN NETWORK
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Dates
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Enumeration Date | 02/17/2014
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Last Update Date | 02/17/2014
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Provider Practice Location Address
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Address Line | 909 HANCOCK ST
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City | QUINCY
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State | MA
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Zip | 02170-3827
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Country | US
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Telephone | 617-773-7457
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Fax |
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Provider Business Mailing Address
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Address Line | 15 ROCHE BROS WAY
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City | NORTH EASTON
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State | MA
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Zip | 02356-1000
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COO
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Name | FRANK SPERANZO
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Credential |
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Telephone | 774-240-1111
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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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