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General NPI Number Information
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NPI Number | 1770488975
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Entity Type | Organization
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Legal Business Name | EVOLVE ORTHOPEDIC SPECIALIST PLLC
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 5801 E TAFT RD
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City | SYRACUSE
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State | NY
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Zip | 13212-3291
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Country | US
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Telephone | 315-418-4155
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Fax | 315-498-6203
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Provider Business Mailing Address
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Address Line | 5719 WIDEWATERS PKWY
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City | SYRACUSE
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State | NY
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Zip | 13214-1985
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TODD BATTAGLIA
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Credential |
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Telephone | 315-399-8668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State | NULL
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