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General NPI Number Information
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NPI Number | 1023425279
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Entity Type | Organization
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Legal Business Name | HUDSON PRO ORTHOPAEDICS AND SPORTS MEDICINE
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Dates
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Enumeration Date | 07/21/2014
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 1320 ADAMS ST STE DE
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City | HOBOKEN
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State | NJ
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Zip | 07030-2370
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Country | US
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Telephone | 201-308-6622
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Fax | 201-308-6623
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Provider Business Mailing Address
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Address Line | 1320 ADAMS ST STE DE
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City | HOBOKEN
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State | NJ
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Zip | 07030-2370
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | IMRAN ASHRAF
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Credential | MD
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Telephone | 973-291-8442
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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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