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General NPI Number Information
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NPI Number | 1306923149
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC SURGERY ASSOCIATES, PA
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/08/2018
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Provider Practice Location Address
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Address Line | 1601 CLINT MOORE RD STE 125
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City | BOCA RATON
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State | FL
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Zip | 33487
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Country | US
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Telephone | 561-395-5733
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Fax | 561-742-3583
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Provider Business Mailing Address
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Address Line | 2828 S SEACREST BLVD SUITE 216
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7944
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Country | US
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Telephone | 561-395-2117
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Fax | 561-395-4551
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. BRANDON J LUSKIN
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Credential | MD
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Telephone | 561-395-2117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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