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General NPI Number Information
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NPI Number | 1548786890
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Entity Type | Organization
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Legal Business Name | ALLEGIANCE ORTHOPAEDIC & SPINE INSTITUTE PLLC
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Dates
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Enumeration Date | 08/18/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 9033 GLADES RD STE B
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City | BOCA RATON
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State | FL
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Zip | 33434-3939
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Country | US
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Telephone | 561-330-4358
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Fax | 561-330-4390
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Provider Business Mailing Address
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Address Line | 190 CONGRESS AVE STE 160
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City | DELRAY BEACH
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State | FL
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Zip | 33445-4707
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Country | US
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Telephone | 561-330-4358
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Fax | 561-330-4390
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Authorized Official
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Title or Position | OWNER
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Name | JOHN ELDON BAKER
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Credential | MD
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Telephone | 561-330-4358
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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 | ME86962
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License Number State | FL
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