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General NPI Number Information
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NPI Number | 1497725659
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Entity Type | Organization
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Legal Business Name | CYPRESS ORTHOPEDICS AND SPORTS MEDICINE P A
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 07/06/2010
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Provider Practice Location Address
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Address Line | 2113 RUBY RED BLVD SUITE A
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City | CLERMONT
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State | FL
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Zip | 34714-6105
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Country | US
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Telephone | 352-243-7411
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Fax | 352-394-4257
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Provider Business Mailing Address
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Address Line | 2113 RUBY RED BLVD SUITE A
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City | CLERMONT
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State | FL
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Zip | 34714-6105
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Country | US
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Telephone | 352-243-7411
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Fax | 352-394-4257
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL A. DOWDY
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Credential | M.D.
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Telephone | 352-243-7411
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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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