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General NPI Number Information
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NPI Number | 1891480372
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Entity Type | Organization
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Legal Business Name | ASHBERG SPECIALTY ORTHOPEDICS LLC
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Dates
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Enumeration Date | 04/10/2023
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 201 N US HWY 1 SUITE D10, #1011
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City | JUPITER
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State | FL
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Zip | 33477-5135
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Country | US
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Telephone | 561-510-1514
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Fax | 561-510-1514
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Provider Business Mailing Address
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Address Line | 201 N US HWY 1 SUITE D10, #1011
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City | JUPITER
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State | FL
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Zip | 33477-5138
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Country | US
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Telephone | 561-510-1514
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Fax | 561-510-1514
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LYALL ASHBERG
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Credential | MD
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Telephone | 630-796-9928
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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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