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General NPI Number Information
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NPI Number | 1588639769
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Entity Type | Organization
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Legal Business Name | BERWYN ORTHOPEDIC SURGEONS, LTD.
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3231 EUCLID AVE
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City | BERWYN
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State | IL
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Zip | 60402-3471
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Country | US
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Telephone | 708-484-1530
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Fax | 708-788-1571
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Provider Business Mailing Address
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Address Line | 1730 PARK ST SUITE 101
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City | NAPERVILLE
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State | IL
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Zip | 60563-2688
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Country | US
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Telephone | 630-718-0200
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Fax | 630-718-0900
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. ASOK K RAY
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Credential | M.D.
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Telephone | 630-718-0200
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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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