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General NPI Number Information
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NPI Number | 1932653292
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Entity Type | Organization
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Legal Business Name | EMERGEORTHO PA
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Dates
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Enumeration Date | 08/04/2016
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Last Update Date | 04/23/2020
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Provider Practice Location Address
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Address Line | 800 FLEMING ST
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City | HENDERSONVILLE
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State | NC
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Zip | 28791-3528
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Country | US
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Telephone | 828-698-4318
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Fax |
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Provider Business Mailing Address
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Address Line | 800 FLEMING ST
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City | HENDERSONVILLE
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State | NC
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Zip | 28791-3528
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Country | US
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Telephone | 828-698-4318
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS ALVA DIMMIG
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Credential | MD
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Telephone | 919-220-5255
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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 | 38818
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License Number State | NC
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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 |
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License Number State |
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