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NPI 1881987147

NPI 1881987147 : ORTHOPAEDIC ASSOCIATES OF CENTRAL MD, PA : ELDERSBURG, MD

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General NPI Number Information
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    NPI Number           |    1881987147
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    Entity Type          |    Organization 
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    Legal Business Name  |    ORTHOPAEDIC ASSOCIATES OF CENTRAL MD, PA 
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Dates
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    Enumeration Date     |    05/19/2011
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    Last Update Date     |    02/21/2013
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Provider Practice Location Address
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    Address Line         |    5961 EXCHANGE DRIVE SUITE 100
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    City                 |    ELDERSBURG
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    State                |    MD
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    Zip                  |    21784
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    Country              |    US
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    Telephone            |    410-644-1880
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    Fax                  |    410-644-6048
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Provider Business Mailing Address
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    Address Line         |    5961 EXCHANGE DRIVE SUITE 100
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    City                 |    ELDERSBURG
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    State                |    MD
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    Zip                  |    21784
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    Country              |    US
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    Telephone            |    410-644-1880
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    Fax                  |    410-644-6048
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Authorized Official
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    Title or Position    |    ADMINISTRATIVE ASSISTANT
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    Name                 |    MRS. KATHY A. STARSONECK 
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    Credential           |    
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    Telephone            |    410-644-1880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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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        |    335E00000X
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    Taxonomy Name        |    Prosthetic/Orthotic Supplier
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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        |    207XS0106X
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    Taxonomy Name        |    Orthopaedic Hand Surgery Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    207XS0117X
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    Taxonomy Name        |    Orthopaedic Surgery of the Spine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    207XX0005X
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    Taxonomy Name        |    Sports Medicine (Orthopaedic Surgery) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    2081P2900X
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    Taxonomy Name        |    Pain Medicine (Physical Medicine & Rehabilitation) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    207XS0114X
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    Taxonomy Name        |    Adult Reconstructive Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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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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