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General NPI Number Information
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NPI Number | 1952128670
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Entity Type | Organization
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Legal Business Name | IPG ORTHO LLP
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Dates
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Enumeration Date | 09/24/2024
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 120 IRMC DR STE 160
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City | INDIANA
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State | PA
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Zip | 15701-3675
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Country | US
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Telephone | 724-465-2676
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Fax | 724-349-1830
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Provider Business Mailing Address
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Address Line | 640 KOLTER DR
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City | INDIANA
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State | PA
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Zip | 15701-3570
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Country | US
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Telephone | 724-357-7333
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Fax | 724-357-7279
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Authorized Official
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Title or Position | EXEXCUTIVE DIRECTOR OF REVENUE CYLE
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Name | APRIL L MILLER
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Credential |
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Telephone | 724-357-7009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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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 | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #8
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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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