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General NPI Number Information
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NPI Number | 1720046733
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC ASSOC OF SPRINGFIELD INC
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 03/20/2012
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Provider Practice Location Address
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Address Line | 1822 N LIMESTONE ST
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City | SPRINGFIELD
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State | OH
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Zip | 45503-2628
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Country | US
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Telephone | 937-399-7831
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Fax | 937-399-3731
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Provider Business Mailing Address
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Address Line | 1822 N LIMESTONE ST
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City | SPRINGFIELD
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State | OH
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Zip | 45503-2628
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Country | US
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Telephone | 937-399-7831
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Fax | 937-399-3731
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NOSHIR E DEBOO
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Credential | MD
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Telephone | 937-399-7831
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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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