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General NPI Number Information
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NPI Number | 1518169929
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Entity Type | Organization
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Legal Business Name | OGDEN ORTHOPAEDIC SPECIALISTS, LLC
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3225 W GORDON AVE SUITE 2
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City | LAYTON
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State | UT
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Zip | 84041-8769
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Country | US
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Telephone | 801-387-2600
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Fax | 801-387-2625
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Provider Business Mailing Address
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Address Line | 4403 HARRISON BLVD SUITE 2600
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City | OGDEN
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State | UT
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Zip | 84403-3271
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Country | US
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Telephone | 801-387-2600
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Fax | 801-387-2625
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES W ADAMS
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Credential | MD
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Telephone | 801-387-2600
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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 | 51866291205
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License Number State | UT
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