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General NPI Number Information
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NPI Number | 1821158387
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC SPECIALISTS PC
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 10/29/2007
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Provider Practice Location Address
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Address Line | 5400 FORT STREET SUITE 150
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City | TRENTON
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State | MI
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Zip | 48183
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Country | US
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Telephone | 734-675-2640
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Fax | 734-675-2812
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Provider Business Mailing Address
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Address Line | 5400 FORT STREET SUITE 150
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City | TRENTON
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State | MI
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Zip | 48183
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Country | US
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Telephone | 734-675-2640
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Fax | 734-675-2812
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Authorized Official
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Title or Position | PRESIDENT - PHYSICIAN
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Name | DR. MICHAEL YURKANIN
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Credential | DO
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Telephone | 734-675-2640
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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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