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General NPI Number Information
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NPI Number | 1467270165
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Entity Type | Organization
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Legal Business Name | ADVANCED ORTHOPEDIC CENTER OF CHARLOTTE COUNTY, PA
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 350 MARY ST STE F
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City | PUNTA GORDA
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State | FL
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Zip | 33950-4564
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Country | US
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Telephone | 941-629-6262
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Fax | 941-629-1782
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Provider Business Mailing Address
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Address Line | 350 MARY ST STE F
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City | PUNTA GORDA
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State | FL
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Zip | 33950-4564
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Country | US
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Telephone | 941-629-6262
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Fax | 941-629-1782
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Authorized Official
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Title or Position | CORPORATE PRESIDENT
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Name | DALE A GREENBERG
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Credential | MD
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Telephone | 941-629-6262
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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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