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General NPI Number Information
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NPI Number | 1922118272
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC & SPINE SURGERY ASSOCIATES LLC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 06/05/2015
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Provider Practice Location Address
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Address Line | 215 BROOKSHIRE LN
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City | BECKLEY
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State | WV
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Zip | 25801-6729
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Country | US
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Telephone | 304-253-1077
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Fax | 304-253-9611
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Provider Business Mailing Address
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Address Line | 215 BROOKSHIRE LN
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City | BECKLEY
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State | WV
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Zip | 25801-6729
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Country | US
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Telephone | 304-253-1077
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Fax | 304-253-9611
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CONNIE S LINK
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Credential |
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Telephone | 304-253-1077
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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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