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General NPI Number Information
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NPI Number | 1326006016
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Entity Type | Organization
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Legal Business Name | THE ORTHOPAEDIC AND SPORTS MEDICINE CENTER OF CAMDEN, P.C.
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 05/16/2008
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Provider Practice Location Address
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Address Line | 64 ANDREWS WAY
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City | KINGSLAND
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State | GA
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Zip | 31548-6832
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Country | US
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Telephone | 912-729-8123
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Fax | 912-729-8133
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Provider Business Mailing Address
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Address Line | 64 ANDREWS WAY
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City | KINGSLAND
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State | GA
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Zip | 31548-6832
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Country | US
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Telephone | 912-729-8123
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Fax | 912-729-8133
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Authorized Official
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Title or Position | PRESIDENT
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Name | NANCY A. FELIX
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Credential | M.D.
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Telephone | 912-729-8123
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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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