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General NPI Number Information
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NPI Number | 1447389259
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Entity Type | Organization
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Legal Business Name | PERFORMANCE ORTHOPEDIC CENTER
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 955 HOSFORD RD
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City | GALION
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State | OH
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Zip | 44833-9325
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Country | US
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Telephone | 419-468-7059
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 704
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City | GALION
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State | OH
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Zip | 44833-0704
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Country | US
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Telephone | 419-468-7059
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | JAMES R KERBS
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Credential | M.D.
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Telephone | 419-468-7059
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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 | 35058529
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 34006810
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License Number State | OH
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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 | 35082136
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4543
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License Number State | OH
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