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General NPI Number Information
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NPI Number | 1386482123
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Entity Type | Organization
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Legal Business Name | COLUMBUS ORTHOPAEDIC ASSOCIATES LLC
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Dates
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Enumeration Date | 07/16/2024
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 1900 10TH AVE STE 310
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City | COLUMBUS
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State | GA
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Zip | 31901-3607
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Country | US
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Telephone | 762-524-7445
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 10TH AVE STE 310
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City | COLUMBUS
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State | GA
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Zip | 31901-3607
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Country | US
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Telephone | 762-524-7445
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | JACOB DUNN
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Credential | DO
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Telephone | 931-206-7952
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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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