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General NPI Number Information
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NPI Number | 1508724402
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Entity Type | Organization
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Legal Business Name | CENTERS FOR ADVANCED ORTHOPAEDICS, LLC
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 11810 W MARKET PL
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City | FULTON
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State | MD
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Zip | 20759-2703
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Country | US
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Telephone | 410-644-1880
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Fax | 410-646-3623
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Provider Business Mailing Address
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Address Line | 11810 W MARKET PL
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City | FULTON
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State | MD
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Zip | 20759-2703
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Country | US
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Telephone | 410-644-1880
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Fax | 410-646-3623
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Authorized Official
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Title or Position | AUTHORIZED SIGNER
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Name | NICHOLAS GROSSO
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Credential | MD
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Telephone | 301-637-8712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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