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General NPI Number Information
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NPI Number | 1265462295
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC SURGERY CENTERS, PC II
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 08/16/2010
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Provider Practice Location Address
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Address Line | 3300 HIGH ST SUITE 1
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City | PORTSMOUTH
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State | VA
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Zip | 23707-3321
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Country | US
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Telephone | 757-397-0783
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Fax | 757-397-0236
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Provider Business Mailing Address
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Address Line | PO BOX 7848
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City | PORTSMOUTH
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State | VA
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Zip | 23707-0848
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Country | US
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Telephone | 757-397-0783
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Fax | 757-397-0236
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD D. KNAUFT
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Credential | M.D.
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Telephone | 757-397-0783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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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 |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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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 |
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