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General NPI Number Information
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NPI Number | 1346653797
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Entity Type | Organization
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Legal Business Name | CUTTING EDGE ORTHOPEDICS, INC.
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Dates
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Enumeration Date | 06/03/2014
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 74000 COUNTRY CLUB DR STE G3
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City | PALM DESERT
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State | CA
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Zip | 92260-1685
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Country | US
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Telephone | 760-340-6784
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Fax | 760-340-6786
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Provider Business Mailing Address
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Address Line | 1717 E VISTA CHINO SUITE A7-492
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City | PALM SPRINGS
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State | CA
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Zip | 92262-3559
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Country | US
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Telephone | 760-340-6786
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Fax | 760-406-5877
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | SYDNEY PARDINO
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Credential | M.D.
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Telephone | 760-340-6784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | A116351
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License Number State | CA
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