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General NPI Number Information
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NPI Number | 1841998804
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Entity Type | Organization
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Legal Business Name | TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C.
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Dates
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Enumeration Date | 02/20/2023
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 11166 FAIRFAX BLVD STE 400
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City | FAIRFAX
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State | VA
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Zip | 22030-5017
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Country | US
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Telephone | 571-367-9849
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Fax |
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Provider Business Mailing Address
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Address Line | 11166 FAIRFAX BLVD STE 400
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City | FAIRFAX
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State | VA
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Zip | 22030-5017
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Country | US
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Telephone | 571-367-9849
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | JEFFREY BERG
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Credential | MD
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Telephone | 703-435-6604
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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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