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General NPI Number Information
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NPI Number | 1861433278
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Entity Type | Organization
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Legal Business Name | RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II LLC
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 833 CHESTNUT ST STE 1220
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4413
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Country | US
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Telephone | 800-321-9999
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Fax | 267-479-1321
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Provider Business Mailing Address
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Address Line | 833 CHESTNUT ST STE 520
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4430
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Country | US
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Telephone | 609-677-7003
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Fax | 215-503-0580
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Authorized Official
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Title or Position | DIRECTOR OF BUSINESS OFFICE
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Name | KELLI HUBER
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Credential |
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Telephone | 267-338-3690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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