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General NPI Number Information
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NPI Number | 1699892794
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC ASSOCIATES OF NAPERVILLE SC
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 07/16/2009
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Provider Practice Location Address
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Address Line | 10 W MARTIN AVE SUITE 50
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City | NAPERVILLE
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State | IL
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Zip | 60540-6535
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Country | US
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Telephone | 630-355-3774
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Fax | 630-355-4953
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Provider Business Mailing Address
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Address Line | 10 W MARTIN AVE SUITE 50
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City | NAPERVILLE
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State | IL
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Zip | 60540-6535
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Country | US
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Telephone | 630-355-3774
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Fax | 630-355-3776
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GREGORY G. MARKARIAN
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Credential | M.D.
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Telephone | 630-355-3774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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