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General NPI Number Information
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NPI Number | 1013107341
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Entity Type | Organization
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Legal Business Name | CHILDRENS ORTHOPAEDIC AND SPORTS MEDICINE CENTER
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 261 JAMES ST STE 3C
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6348
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Country | US
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Telephone | 973-206-1033
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Fax |
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Provider Business Mailing Address
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Address Line | 261 JAMES ST SUITE 3C
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6392
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Country | US
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Telephone | 973-206-1033
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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. BARBARA MINKOWITZ
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Credential | MD
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Telephone | 718-815-0011
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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 |
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License Number State |
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