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General NPI Number Information
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NPI Number | 1962950972
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Entity Type | Organization
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Legal Business Name | BROWNWOOD ORTHOPEDICS, PA
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Dates
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Enumeration Date | 09/19/2016
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Last Update Date | 09/19/2016
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Provider Practice Location Address
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Address Line | 103 S PARK DR STE B
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City | BROWNWOOD
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State | TX
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Zip | 76801-5905
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Country | US
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Telephone | 325-643-8080
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2368
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City | BROWNWOOD
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State | TX
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Zip | 76804-2368
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Country | US
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Telephone | 325-643-8080
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEPHEN JAN ROBERTS
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Credential | M.D.
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Telephone | 325-643-8080
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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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