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General NPI Number Information
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NPI Number | 1841439742
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC & SPINE SURGERY ASSOCIATES LTD.
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Dates
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Enumeration Date | 02/17/2009
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Last Update Date | 05/06/2009
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Provider Practice Location Address
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Address Line | 420 W NORTHWEST HWY SUITE J
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City | BARRINGTON
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State | IL
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Zip | 60010-6837
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Country | US
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Telephone | 847-382-6477
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Fax | 847-382-6478
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Provider Business Mailing Address
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Address Line | 2350 ROYAL BLVD SUITE 800
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City | ELGIN
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State | IL
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Zip | 60123-4719
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Country | US
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Telephone | 847-931-2210
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Fax | 847-931-2212
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Authorized Official
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Title or Position | BUSSINESS ADMINISTRATOR
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Name | MS. SUSAN J RYAN
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Credential |
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Telephone | 847-931-5300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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