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General NPI Number Information
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NPI Number | 1508973108
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Entity Type | Organization
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Legal Business Name | FAR OAKS ORTHOPEDISTS, INC
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 10/02/2008
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Provider Practice Location Address
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Address Line | 1244 MEADOWBRIDGE DRIVE SUITE 100
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City | BEAVERCREEK
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State | OH
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Zip | 45434
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Country | US
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Telephone | 937-433-1336
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Fax | 937-433-1340
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Provider Business Mailing Address
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Address Line | 6490 CENTERVILLE BUSINESS PKWY
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City | CENTERVILLE
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State | OH
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Zip | 45459
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Country | US
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Telephone | 937-433-1336
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Fax | 937-433-1340
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Authorized Official
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Title or Position | PHYSICIAN
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Name | STEVEN MICHAEL KLEINHENZ
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Credential | M.D.
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Telephone | 937-433-1336
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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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