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General NPI Number Information
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NPI Number | 1588743488
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Entity Type | Organization
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Legal Business Name | CENTER FOR ORTHOPEDIC EXCELLENCE, PLLC
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 07/06/2010
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Provider Practice Location Address
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Address Line | 1008 TAVERN RD SUITE 102
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City | MARTINSBURG
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State | WV
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Zip | 25401-2801
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Country | US
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Telephone | 304-263-5129
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Fax |
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Provider Business Mailing Address
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Address Line | 1008 TAVERN RD SUITE 102
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City | MARTINSBURG
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State | WV
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Zip | 25401-2801
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Country | US
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Telephone | 304-263-5129
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Fax |
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Authorized Official
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Title or Position | PARTNER/PHYSICIAN
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Name | DR. TROY DALE FOSTER
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Credential | D.O.
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Telephone | 304-263-5129
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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 | 7713-23954
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License Number State | WV
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