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General NPI Number Information
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NPI Number | 1326046657
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC SURGEONS OF MONTGOMERY COUNTY, P.A.
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 10/03/2011
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Provider Practice Location Address
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Address Line | 8830 CAMERON CT SUITE 333
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City | SILVER SPRING
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State | MD
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Zip | 20910-4155
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Country | US
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Telephone | 301-565-3301
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Fax | 301-587-3236
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Provider Business Mailing Address
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Address Line | 8830 CAMERON CT SUITE 333
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City | SILVER SPRING
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State | MD
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Zip | 20910-4155
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Country | US
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Telephone | 301-565-3301
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Fax | 301-587-3236
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Authorized Official
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Title or Position | BOOKKEEPER
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Name | MISS PAMELA DICKOFF
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Credential |
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Telephone | 301-565-3305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | D0042845
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | D0030963
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License Number State | MD
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