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General NPI Number Information
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NPI Number | 1861405375
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Entity Type | Organization
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Legal Business Name | ADVANCED ORTHOPEDICS, LLC
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3903 S 7TH ST SUITE 1B
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City | TERRE HAUTE
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State | IN
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Zip | 47802-5710
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Country | US
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Telephone | 304-347-6186
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Fax |
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Provider Business Mailing Address
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Address Line | 3903 S 7TH ST SUITE 1B
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City | TERRE HAUTE
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State | IN
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Zip | 47802-5710
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Country | US
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Telephone | 304-347-6186
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Fax |
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Authorized Official
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Title or Position | VP
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Name | KEN WASHINGTON
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Credential |
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Telephone | 304-347-6186
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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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