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General NPI Number Information
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NPI Number | 1952365413
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Entity Type | Individual
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Provider Name | JOHN L EADY M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2 MEDICAL PARK RD SUITE 404
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City | COLUMBIA
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State | SC
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Zip | 29203-6808
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Country | US
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Telephone | 803-434-6812
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Fax | 803-255-3451
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Provider Business Mailing Address
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Address Line | 15 MEDICAL PARK RD SUITE 300
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City | COLUMBIA
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State | SC
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Zip | 29203-8003
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Country | US
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Telephone | 803-255-3417
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Fax | 803-255-3451
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 5196
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License Number State | SC
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