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General NPI Number Information
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NPI Number | 1528123007
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC SURGICAL CONSULTANTS, PC
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 333 W 89TH AVE STE W5
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City | MERRILLVILLE
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State | IN
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Zip | 46410-7050
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Country | US
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Telephone | 219-662-2279
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Fax | 855-742-9438
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Provider Business Mailing Address
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Address Line | 7904 CABELA DR
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City | HAMMOND
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State | IN
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Zip | 46324-2950
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Country | US
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Telephone | 219-662-2279
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Fax | 855-742-9483
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN POMPONI
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Credential | D.O.
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Telephone | 219-662-2279
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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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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number |
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License Number State |
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