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General NPI Number Information
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NPI Number | 1336578251
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Entity Type | Organization
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Legal Business Name | ALLEGIANCE ORTHOPAEDIC & SPINE INSTITUTE PLLC
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Dates
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Enumeration Date | 11/01/2013
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Last Update Date | 02/04/2014
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Provider Practice Location Address
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Address Line | 101 NW 1ST AVE SUITE B
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City | DELRAY BEACH
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State | FL
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Zip | 33444-2684
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Country | US
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Telephone | 561-409-9309
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Fax | 561-431-8184
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Provider Business Mailing Address
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Address Line | 101 NW 1ST AVE SUITE B
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City | DELRAY BEACH
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State | FL
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Zip | 33444-2684
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Country | US
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Telephone | 561-409-9309
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Fax | 561-431-8184
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. JOHN E BAKER
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Credential | M.D.
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Telephone | 561-409-9309
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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 | ME86962
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License Number State | FL
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