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General NPI Number Information
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NPI Number | 1922199652
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Entity Type | Organization
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Legal Business Name | AMERICAN ORTHOPEDICS AND SPORTS MEDICINE, PLC
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 353 NEW SHACKLE ISLAND RD SUITE 226B
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-2379
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Country | US
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Telephone | 615-264-2600
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Fax | 615-860-7944
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Provider Business Mailing Address
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Address Line | 353 NEW SHACKLE ISLAND RD SUITE 226B
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-2379
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Country | US
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Telephone | 615-264-2600
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Fax | 615-860-7944
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | STEVEN B. LARSON
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Credential | M.D.
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Telephone | 615-264-2600
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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 | 38266
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License Number State | TN
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