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General NPI Number Information
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NPI Number | 1588578124
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Entity Type | Organization
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Legal Business Name | CENTERS FOR ADVANCED ORTHOPAEDICS, LLC
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 1413 MADISON PARK DR
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City | GLEN BURNIE
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State | MD
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Zip | 21061-6355
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Country | US
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Telephone | 410-644-1880
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Fax | 410-730-1617
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Provider Business Mailing Address
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Address Line | 910 FREDERICK RD
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City | CATONSVILLE
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State | MD
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Zip | 21228-4516
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED SIGNER
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Name | NICHOLAS GROSSO
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Credential |
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Telephone | 410-644-1880
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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 | NULL
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