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General NPI Number Information
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NPI Number | 1477425585
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Entity Type | Organization
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Legal Business Name | HEALTH BEIDGE ORTHOPEDICS, PC
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 1 BALA AVENUE SUITE LL3
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City | BALA CYNWYD
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State | PA
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Zip | 19004-3218
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Country | US
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Telephone | 215-366-2803
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 8918
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City | ELKINS PARK
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State | PA
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Zip | 19027-1942
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Country | US
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Telephone | 215-782-3891
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Fax | 215-224-2020
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Authorized Official
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Title or Position | MANAGER OF OPERATIONS/HUMAN RESOURC
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Name | MRS. DONNA LYNN STATON
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Credential |
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Telephone | 215-782-3891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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