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General NPI Number Information
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NPI Number | 1801844642
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Entity Type | Organization
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Legal Business Name | OAD ORTHOPAEDICS, LTD
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 10/17/2012
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Provider Practice Location Address
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Address Line | 27650 FERRY RD SUITE 100
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City | WARRENVILLE
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State | IL
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Zip | 60555-3845
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Country | US
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Telephone | 630-225-2663
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Fax | 630-225-2399
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Provider Business Mailing Address
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Address Line | 27650 FERRY RD SUITE 100
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City | WARRENVILLE
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State | IL
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Zip | 60555-3845
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Country | US
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Telephone | 630-225-2663
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Fax | 630-225-2399
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | DENISE KRAUKLIS
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Credential |
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Telephone | 630-225-2663
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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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