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General NPI Number Information
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NPI Number | 1972888634
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Entity Type | Organization
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Legal Business Name | CHOICE ORTHOPEDICS
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Dates
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Enumeration Date | 10/13/2011
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Last Update Date | 10/13/2011
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Provider Practice Location Address
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Address Line | 2419 E COMMERCIAL BLVD SUITE# 101
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City | FT LAUDERDALE
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State | FL
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Zip | 33308-4042
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Country | US
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Telephone | 561-299-1230
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Fax | 561-404-8722
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Provider Business Mailing Address
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Address Line | 43 S POMPANO PKWY SUITE # 246
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City | POMPANO BEACH
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State | FL
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Zip | 33069-3001
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Country | US
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Telephone | 561-299-1230
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Fax | 561-404-8722
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ROBERT SIMON
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Credential | M.D.
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Telephone | 561-299-1230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0073142
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License Number State | FL
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