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General NPI Number Information
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NPI Number | 1447384748
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC CENTER PC
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 04/09/2012
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Provider Practice Location Address
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Address Line | 209 N. RIVER ST.
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City | CLAXTON
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State | GA
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Zip | 30417-1658
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Country | US
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Telephone | 800-827-6536
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Fax | 912-644-5260
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Provider Business Mailing Address
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Address Line | 210 E. DERENNE AVE
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City | SAVANNAH
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State | GA
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Zip | 31405-6736
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Country | US
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Telephone | 912-644-5300
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Fax | 912-644-5260
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL W KLEINPETER
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Credential |
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Telephone | 912-644-5300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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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 |
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License Number State | GA
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