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General NPI Number Information
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NPI Number | 1316533755
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Entity Type | Organization
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Legal Business Name | NOWAK ORTHOPEDIC ASSOCIATES, PLLC
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Dates
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Enumeration Date | 12/20/2020
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Last Update Date | 02/10/2021
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Provider Practice Location Address
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Address Line | 55 HIGH ST STE 301
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City | HAMPTON
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State | NH
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Zip | 03842-2213
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Country | US
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Telephone | 603-770-2633
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Fax |
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Provider Business Mailing Address
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Address Line | 55 HIGH ST STE 301
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City | HAMPTON
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State | NH
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Zip | 03842-2213
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Country | US
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Telephone | 603-967-8033
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROGER B NOWAK
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Credential | MD
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Telephone | 603-967-8033
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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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