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General NPI Number Information
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NPI Number | 1861502130
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Entity Type | Organization
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Legal Business Name | DOVER ORTHOPAEDIC CENTER, INC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 205 HOSPITAL DR
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City | DOVER
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State | OH
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Zip | 44622-2058
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Country | US
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Telephone | 330-343-3335
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Fax | 330-364-5720
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Provider Business Mailing Address
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Address Line | 205 HOSPITAL DR
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City | DOVER
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State | OH
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Zip | 44622-2058
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Country | US
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Telephone | 330-343-3335
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Fax | 330-364-5720
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Authorized Official
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Title or Position | PRESIDENT
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Name | SCOTT F HOLDER
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Credential | MD
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Telephone | 330-343-3335
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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 | 35-048418
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License Number State | OH
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