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General NPI Number Information
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NPI Number | 1477681757
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Entity Type | Organization
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Legal Business Name | NORTH COAST ORTHOPAEDICS INC
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 104 EAST 2ND STREET 3RD FLOOR
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City | ERIE
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State | PA
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Zip | 16507
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Country | US
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Telephone | 814-877-5660
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Fax | 814-877-5661
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Provider Business Mailing Address
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Address Line | 104 EAST 2ND STREET 3RD FLOOR
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City | ERIE
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State | PA
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Zip | 16507
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Country | US
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Telephone | 814-877-5660
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Fax | 814-877-5661
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Authorized Official
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Title or Position | MD
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Name | VINCENT P ROGERS
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Credential | MD
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Telephone | 814-877-5660
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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 | MD013467E
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License Number State | PA
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