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An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Licensed Practical Nurse |
164W00000X | |||
Podiatric |
261QP1100X | |||
VA |
261QV0200X |
| NPI Number | 1134173644 |
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| LBN Legal business name | FAIRMONT ORTHOPEDICS & SPORTS MEDICINE, PA | ||||||||||||||||||||||||||||||||||||||||||||
| Authorized official | LINDA THOMPSON - (REVENUE CYCLE MANAGER ADMIN AP) | ||||||||||||||||||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||||||||||||||||||||||
| Enumeration date | 05/20/2006 | ||||||||||||||||||||||||||||||||||||||||||||
| Last updated | 03/26/2025 - More than a year ago | ||||||||||||||||||||||||||||||||||||||||||||
| Identifiers |
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FAIRMONT ORTHOPEDICS & SPORTS MEDICINE, PA