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General NPI Number Information
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NPI Number | 1245043041
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Entity Type | Organization
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Legal Business Name | CENTERS FOR ADVANCED ORTHOPAEDICS, LLC
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 161 THOMAS JOHNSON DR STE 100
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City | FREDERICK
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State | MD
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Zip | 21702-4952
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Country | US
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Telephone | 301-694-8311
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Fax | 240-629-8549
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Provider Business Mailing Address
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Address Line | 6707 DEMOCRACY BLVD STE 504
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City | BETHESDA
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State | MD
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Zip | 20817-1166
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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 | PRINCIPLE PHYSICIAN
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Name | NICHOLAS PATRICK GROSSO
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Credential | MD
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Telephone | 410-644-1880
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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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