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General NPI Number Information
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NPI Number | 1306901483
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Entity Type | Organization
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Legal Business Name | ARTHROSCOPY & ORTHOPAEDIC SURGERY
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 09/18/2009
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Provider Practice Location Address
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Address Line | 1389 N BALDWIN AVE
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City | MARION
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State | IN
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Zip | 46952-1913
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Country | US
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Telephone | 765-664-2671
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Fax | 765-664-3703
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Provider Business Mailing Address
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Address Line | 1389 N BALDWIN AVE
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City | MARION
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State | IN
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Zip | 46952-1913
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Country | US
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Telephone | 765-664-2671
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Fax | 765-664-3703
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Authorized Official
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Title or Position | CEO
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Name | SALIL RAJMAIRA
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Credential | MD
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Telephone | 765-664-2671
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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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