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General NPI Number Information
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NPI Number | 1992596043
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Entity Type | Organization
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Legal Business Name | TRISTATE ORTHOPEDICS, LLC
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 1 CHATEAU GROVE LN
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1627
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Country | US
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Telephone | 517-410-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 3 COURT SIDE DR
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City | HUNTINGTON
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State | WV
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Zip | 25705-2177
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Country | US
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Telephone | 517-410-9000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VIVEKANAND S NEGINHAL
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Credential | MD
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Telephone | 517-410-9000
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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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