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General NPI Number Information
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NPI Number | 1306435904
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC DEVELOPMENT PARTNERS LLC
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Dates
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Enumeration Date | 01/18/2021
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 13837 CIRCA CROSSING DRIVE SUITE 100
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City | LITHIA
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State | FL
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Zip | 33547
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Country | US
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Telephone | 813-280-0970
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Fax |
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Provider Business Mailing Address
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Address Line | 13837 CIRCA CROSSING DR STE 100
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City | LITHIA
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State | FL
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Zip | 33547-4383
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Country | US
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Telephone | 813-535-6647
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. SCOTT GOLDSMITH
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Credential | MD
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Telephone | 813-535-6647
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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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