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General NPI Number Information
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NPI Number | 1841297538
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Entity Type | Organization
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Legal Business Name | OCALA ORTHOPAEDIC GROUP PA
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 05/23/2008
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Provider Practice Location Address
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Address Line | 1015 SE 17TH ST STE 100
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City | OCALA
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State | FL
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Zip | 34471-3920
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Country | US
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Telephone | 352-351-3422
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Fax | 352-351-9129
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Provider Business Mailing Address
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Address Line | 1015 SE 17TH ST #100
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City | OCALA
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State | FL
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Zip | 34471-3968
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Country | US
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Telephone | 352-401-3127
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Fax | 352-351-9129
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MARY PAMELA REGISTER
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Credential |
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Telephone | 352-401-3127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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