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General NPI Number Information
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NPI Number | 1588730899
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC TRAUMA P.C.
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 100 HIGHLAND ST SUITE G1
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City | MILTON
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State | MA
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Zip | 02186-3881
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Country | US
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Telephone | 617-696-2300
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Fax | 617-698-7542
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Provider Business Mailing Address
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Address Line | 1601 TRAPELO RD SUITE 202
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City | WALTHAM
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State | MA
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Zip | 02451-7333
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Country | US
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Telephone | 781-647-3790
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Fax | 781-647-3494
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Authorized Official
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Title or Position | OWNER
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Name | GEORGE P WHITELAW JR.
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Credential | M.D.
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Telephone | 617-698-7542
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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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