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General NPI Number Information
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NPI Number | 1851929814
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Entity Type | Organization
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Legal Business Name | DELAWARE ORTHOPAEDIC CONSULTANTS, LLC
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Dates
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Enumeration Date | 03/27/2020
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Last Update Date | 03/27/2020
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Provider Practice Location Address
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Address Line | 1320 MIDDLEFORD RD STE 203
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City | SEAFORD
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State | DE
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Zip | 19973-3649
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Country | US
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Telephone | 302-628-7702
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Fax |
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Provider Business Mailing Address
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Address Line | 4930 WOODPECKER RD
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City | SEAFORD
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State | DE
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Zip | 19973-6992
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Country | US
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Telephone | 856-287-5247
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID EAKIN
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Credential | DO
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Telephone | 856-287-5247
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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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