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General NPI Number Information
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NPI Number | 1831220060
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Entity Type | Organization
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Legal Business Name | SCOTLAND ORTHOPEDICS, PA
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 01/07/2009
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Provider Practice Location Address
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Address Line | 209 BALL PARK ST
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City | BENNETTSVILLE
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State | SC
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Zip | 29512
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Country | US
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Telephone | 843-479-9033
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Fax | 843-479-8825
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Provider Business Mailing Address
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Address Line | PO BOX 917
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City | BENNETTSVILLE
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State | SC
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Zip | 29512-0917
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Country | US
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Telephone | 843-479-9033
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Fax | 843-479-8825
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL FLETCHER RUSH
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Credential | MD
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Telephone | 843-479-9033
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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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