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General NPI Number Information
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NPI Number | 1508853797
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Entity Type | Organization
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Legal Business Name | ARTHRITIS & OSTEOPOROSIS TREATMENT CENTER, P.A.
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 2100 KINGSLEY AVE
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City | ORANGE PARK
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State | FL
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Zip | 32073-5130
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Country | US
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Telephone | 904-276-0001
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Fax | 904-276-5333
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Provider Business Mailing Address
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Address Line | 2100 KINGSLEY AVE
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City | ORANGE PARK
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State | FL
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Zip | 32073-5130
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Country | US
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Telephone | 904-276-0001
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Fax | 904-276-5333
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Authorized Official
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Title or Position | PHYSICIAN/PRESIDENT
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Name | DR. ADAM WALKER BAGLEY
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Credential | MD
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Telephone | 904-276-0001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP2017862
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9228833
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP3343402
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | ME47366
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License Number State | FL
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