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General NPI Number Information
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NPI Number | 1730178260
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC SPECIALISTS INC
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 730 CENTRE ST
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City | BROCKTON
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State | MA
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Zip | 02302-3312
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Country | US
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Telephone | 508-583-4546
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Fax | 508-584-9379
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Provider Business Mailing Address
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Address Line | 460 TOTTEN POND RD C/O MZI
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City | WALTHAM
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State | MA
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Zip | 02451-1991
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Country | US
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Telephone | 781-890-9933
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Fax | 781-890-9950
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Authorized Official
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Title or Position | PRESIDENT
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Name | GEORGE C BROWN
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Credential | MD
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Telephone | 508-583-4546
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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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