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General NPI Number Information
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NPI Number | 1851605349
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Entity Type | Organization
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Legal Business Name | NORTH SHORE CENTER FOR ORTHOPEDIC SURGERY
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Dates
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Enumeration Date | 07/27/2010
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Last Update Date | 07/27/2010
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Provider Practice Location Address
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Address Line | 4 STATE RD
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City | DANVERS
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State | MA
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Zip | 01923-2567
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Country | US
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Telephone | 978-774-3400
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Fax | 978-774-5883
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Provider Business Mailing Address
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Address Line | 4 STATE RD
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City | DANVERS
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State | MA
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Zip | 01923-2567
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Country | US
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Telephone | 978-774-3400
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Fax | 978-774-5883
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | DR. DAVID PHILLIP ST.PIERRE
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Credential | M.D.
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Telephone | 978-774-3400
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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 | 153208
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License Number State | MA
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