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General NPI Number Information
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NPI Number | 1427074442
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Entity Type | Organization
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Legal Business Name | CAPE COD SPORTS MEDICINE
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 09/21/2009
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Provider Practice Location Address
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Address Line | 360 GIFFORD ST
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City | FALMOUTH
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State | MA
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Zip | 02540-2912
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Country | US
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Telephone | 508-540-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 360 GIFFORD ST PO BOX 765
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City | FALMOUTH
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State | MA
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Zip | 02540-2912
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Country | US
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Telephone | 508-540-0200
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. DONALD E O'MALLEY
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Credential | MD
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Telephone | 508-540-0200
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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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