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General NPI Number Information
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NPI Number | 1730357237
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Entity Type | Organization
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Legal Business Name | TRI-STATE ORTHOPAEDIC SURGEONS, INC.
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Dates
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Enumeration Date | 02/19/2008
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Last Update Date | 08/19/2019
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Provider Practice Location Address
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Address Line | 225 CROSSLAKE DR
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City | EVANSVILLE
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State | IN
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Zip | 47715-8198
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Country | US
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Telephone | 812-477-1558
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Fax |
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Provider Business Mailing Address
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Address Line | 225 CROSSLAKE DR
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City | EVANSVILLE
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State | IN
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Zip | 47715-8198
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Country | US
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Telephone | 812-477-1558
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. RICHARD KENT ADAMS
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Credential | C.P.A.
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Telephone | 812-477-1558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | IN
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