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General NPI Number Information
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NPI Number | 1861618290
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Entity Type | Organization
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Legal Business Name | CENTER FOR ORTHOPEDICS INC.
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 04/21/2010
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Provider Practice Location Address
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Address Line | 1524 ATWOOD AVE STE 140
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City | JOHNSTON
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State | RI
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Zip | 02919-3288
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Country | US
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Telephone | 401-351-6200
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Fax | 401-351-6201
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Provider Business Mailing Address
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Address Line | 1524 ATWOOD AVE STE 140
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City | JOHNSTON
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State | RI
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Zip | 02919-3288
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Country | US
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Telephone | 401-351-6200
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Fax | 401-351-6201
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. ANTHONY ROBERT BUONANNO
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Credential | M.D.
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Telephone | 401-351-6200
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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 | 5345
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License Number State | RI
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