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General NPI Number Information
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NPI Number | 1821039702
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Entity Type | Organization
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Legal Business Name | 3B ORTHOPAEDICS,P.C.
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 07/23/2009
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Provider Practice Location Address
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Address Line | 800 SPRUCE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-6130
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Country | US
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Telephone | 215-829-2499
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Fax | 215-829-2487
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Provider Business Mailing Address
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Address Line | PO BOX 828079
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City | PHILADELPHIA
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State | PA
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Zip | 19182-8079
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Country | US
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Telephone | 215-829-2499
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Fax | 215-829-2487
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Authorized Official
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Title or Position | CEO
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Name | ROBERT EMREY BOOTH
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Credential | M.D.
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Telephone | 215-829-2499
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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 | PA
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