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General NPI Number Information
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NPI Number | 1437425287
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Entity Type | Organization
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Legal Business Name | JOHN H. HEDGER, SR., M.D., LLC
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Dates
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Enumeration Date | 03/27/2012
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Last Update Date | 03/27/2012
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Provider Practice Location Address
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Address Line | 1675 WOODBROOKE DR
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City | SALISBURY
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State | MD
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Zip | 21804-8502
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Country | US
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Telephone | 410-860-4514
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Fax | 410-860-4513
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Provider Business Mailing Address
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Address Line | 1675 WOODBROOKE DR
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City | SALISBURY
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State | MD
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Zip | 21804-8502
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Country | US
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Telephone | 410-860-4514
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Fax | 410-860-4513
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN HOWARD HEDGER SR.
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Credential | M.D.
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Telephone | 410-860-4514
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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 | D0025069
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License Number State | MD
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