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General NPI Number Information
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NPI Number | 1356317903
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Entity Type | Organization
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Legal Business Name | ACADEMY ORTHOPEDICS, LLC
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 318 TRIBBLE GAP RD
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City | CUMMING
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State | GA
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Zip | 30040-2440
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Country | US
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Telephone | 770-889-0891
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Fax | 770-889-0354
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Provider Business Mailing Address
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Address Line | 318 TRIBBLE GAP RD
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City | CUMMING
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State | GA
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Zip | 30040-2440
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Country | US
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Telephone | 770-889-0891
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Fax | 770-889-0354
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | PAM AUSTIN MORGAN
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Credential |
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Telephone | 678-992-0258
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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 | G67930
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 035755
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 028421
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License Number State | GA
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