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General NPI Number Information
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NPI Number | 1538515952
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Entity Type | Organization
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Legal Business Name | SHORE ORTHOPEDICS, INC.
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Dates
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Enumeration Date | 05/05/2016
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 510 IDLEWILD AVE
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City | EASTON
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State | MD
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Zip | 21601-3881
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Country | US
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Telephone | 410-820-8226
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Fax | 410-820-8405
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Provider Business Mailing Address
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Address Line | 510 IDLEWILD AVE
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City | EASTON
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State | MD
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Zip | 21601-3881
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Country | US
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Telephone | 410-820-8226
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Fax | 410-820-8405
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | JASON JANCOSKO
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Credential | DO
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Telephone | 410-820-8226
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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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