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General NPI Number Information
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NPI Number | 1568799302
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Entity Type | Organization
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Legal Business Name | ROSENBAUM ORTHOPAEDICS, LLC
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Dates
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Enumeration Date | 11/16/2009
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Last Update Date | 10/01/2011
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Provider Practice Location Address
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Address Line | 1103 PLAZA AVE
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City | EASTMAN
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State | GA
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Zip | 31023-6788
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Country | US
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Telephone | 478-374-2490
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Fax | 478-374-0337
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Provider Business Mailing Address
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Address Line | PO BOX 4128
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City | EASTMAN
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State | GA
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Zip | 31023-4128
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Country | US
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Telephone | 478-374-2490
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Fax | 478-374-0337
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Authorized Official
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Title or Position | CFO
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Name | MIKE HESTER
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Credential |
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Telephone | 478-448-4050
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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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