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General NPI Number Information
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NPI Number | 1902850654
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Entity Type | Organization
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Legal Business Name | CENTER FOR ORTHOPAEDIC SERVICES, PSC
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 04/24/2012
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Provider Practice Location Address
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Address Line | 44 MCCOY AVENUE SUITE 442
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City | MADISONVILLE
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State | KY
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Zip | 42431-2963
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Country | US
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Telephone | 270-824-6655
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Fax | 270-824-6629
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Provider Business Mailing Address
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Address Line | 44 MCCOY AVENUE SUITE 442
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City | MADISONVILLE
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State | KY
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Zip | 42431-2963
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Country | US
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Telephone | 270-824-6655
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Fax | 270-824-6629
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES M DONLEY
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Credential | M.D.
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Telephone | 270-824-6655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 19218 (KBML-DONLEY)
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 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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