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General NPI Number Information
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NPI Number | 1740373547
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Entity Type | Organization
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Legal Business Name | THE ORTHOPAEDIC INSTITUTE PA
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 04/11/2022
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Provider Practice Location Address
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Address Line | 4500 NEWBERRY RD
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City | GAINESVILLE
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State | FL
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Zip | 32607
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Country | US
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Telephone | 352-336-6000
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Fax | 352-332-0799
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Provider Business Mailing Address
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Address Line | 4500 W NEWBERRY RD
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City | GAINESVILLE
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State | FL
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Zip | 32607-2245
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Country | US
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Telephone | 352-336-6000
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Fax | 352-332-0799
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Authorized Official
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Title or Position | CFO
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Name | MR. MICHAEL A ANDERSON
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Credential |
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Telephone | 352-367-2301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #5
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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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