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General NPI Number Information
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NPI Number | 1285746263
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Entity Type | Organization
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Legal Business Name | ORTHOPEDICS SURGICAL CENTER OF THE NORTH SHORE LLC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 09/08/2015
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Provider Practice Location Address
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Address Line | ONE ORTHOPEDICS DRIVE MAIN LEVEL
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City | PEABODY
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State | MA
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Zip | 01960
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Country | US
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Telephone | 978-818-6517
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Fax | 978-818-6357
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Provider Business Mailing Address
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Address Line | ONE ORTHOPEDICS DRIVE MAIN LEVEL
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City | PEABODY
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State | MA
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Zip | 01960
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Country | US
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Telephone | 978-818-6517
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Fax | 978-818-6357
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Authorized Official
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Title or Position | CEO
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Name | MR. JARETT SCOTT LANDMAN
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Credential | PA-C
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Telephone | 978-818-6405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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