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General NPI Number Information
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NPI Number | 1821326240
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Entity Type | Organization
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Legal Business Name | LAKESHORE BONE & JOINT INSTITUTE II, LLC
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Dates
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Enumeration Date | 11/23/2009
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Last Update Date | 03/10/2022
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Provider Practice Location Address
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Address Line | 601 GATEWAY BLVD N
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City | CHESTERTON
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State | IN
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Zip | 46304-9658
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Country | US
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Telephone | 219-921-1444
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Fax | 219-921-5303
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Provider Business Mailing Address
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Address Line | 601 GATEWAY BLVD N
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City | CHESTERTON
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State | IN
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Zip | 46304-9658
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Country | US
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Telephone | 219-921-1444
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Fax | 219-921-5303
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTON A THOMPKINS
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Credential | M.D.
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Telephone | 219-921-1444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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