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General NPI Number Information
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NPI Number | 1275793168
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Entity Type | Organization
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Legal Business Name | GREATER METROPOLITAN ORTHOPAEDICS
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Dates
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Enumeration Date | 06/13/2008
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Last Update Date | 11/07/2012
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Provider Practice Location Address
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Address Line | 11325 PEMBROOKE SQUARE SUITE 115
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City | WALDORF
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State | MD
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Zip | 20603
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Country | US
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Telephone | 301-719-1167
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Fax |
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Provider Business Mailing Address
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Address Line | 11325 PEMBROOKE SQ
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City | WALDORF
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State | MD
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Zip | 20603-4807
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Country | US
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Telephone | 301-856-1682
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Fax | 301-843-2946
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY SABLOFF
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Credential | MD
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Telephone | 301-856-1682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery 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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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Taxonomy #5
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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 |
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Taxonomy #6
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #7
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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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