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General NPI Number Information
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NPI Number | 1447915061
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Entity Type | Organization
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Legal Business Name | MONTEREY BAY ORTHOPAEDIC SPECIALISTS INC
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Dates
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Enumeration Date | 11/08/2021
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Last Update Date | 11/08/2021
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Provider Practice Location Address
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Address Line | 1900 GARDEN RD STE 120
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City | MONTEREY
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State | CA
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Zip | 93940-5334
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Country | US
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Telephone | 831-657-0111
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Fax | 831-656-1202
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Provider Business Mailing Address
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Address Line | 1900 GARDEN RD STE 120
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City | MONTEREY
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State | CA
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Zip | 93940-5334
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Country | US
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Telephone | 831-657-0111
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Fax | 831-656-1202
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MS. JULIE SATOW
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Credential | RN
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Telephone | 831-657-0111
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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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