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General NPI Number Information
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NPI Number | 1972271054
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Entity Type | Organization
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Legal Business Name | SIGNATURE ORTHOPAEDICS, PLLC
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Dates
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Enumeration Date | 09/02/2021
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Last Update Date | 09/02/2021
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Provider Practice Location Address
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Address Line | 2540 N GALLOWAY AVE STE 302
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City | MESQUITE
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State | TX
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Zip | 75150-4814
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Country | US
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Telephone | 972-863-9828
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Fax |
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Provider Business Mailing Address
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Address Line | 2540 N GALLOWAY AVE STE 302
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City | MESQUITE
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State | TX
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Zip | 75150-4814
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Country | US
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Telephone | 972-863-9828
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Fax |
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | DR. OBI OSUJI
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Credential | MD
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Telephone | 972-863-9828
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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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