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General NPI Number Information
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NPI Number | 1750366217
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Entity Type | Organization
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Legal Business Name | N'ORTHOPEDICS PC
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Dates
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Enumeration Date | 12/07/2005
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Last Update Date | 02/27/2008
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Provider Practice Location Address
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Address Line | 2147 PROFESSIONAL DR
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City | GAYLORD
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State | MI
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Zip | 49735-0003
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Country | US
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Telephone | 989-732-1753
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Fax | 989-731-1425
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Provider Business Mailing Address
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Address Line | 2147 PROFESSIONAL DR PO BOX 340
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City | GAYLORD
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State | MI
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Zip | 49735-0003
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Country | US
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Telephone | 989-732-1753
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Fax | 989-731-1425
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Authorized Official
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Title or Position | CLINIC MANAGER
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Name | MS. PATRICIA A BONNER
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Credential |
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Telephone | 989-732-1753
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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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