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General NPI Number Information
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NPI Number | 1538879069
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Entity Type | Organization
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Legal Business Name | ADVANTAGE ORTHOPEDICS INC
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Dates
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Enumeration Date | 11/23/2022
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 6670 PERIMETER DR STE 140
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City | DUBLIN
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State | OH
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Zip | 43016-8057
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Country | US
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Telephone | 614-526-2153
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Fax | 614-526-2151
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Provider Business Mailing Address
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Address Line | 6670 PERIMETER DR STE 140
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City | DUBLIN
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State | OH
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Zip | 43016-8057
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Country | US
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Telephone | 614-526-2150
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Fax | 614-526-2151
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Authorized Official
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Title or Position | PRESIDENT/CEO/ PHYSICIAN
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Name | THOMAS JOSEPH KOVACK
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Credential | DO
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Telephone | 614-526-2153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive 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 | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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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 | 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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Taxonomy #4
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number |
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License Number State |
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Taxonomy #6
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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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