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General NPI Number Information
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NPI Number | 1023473782
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Entity Type | Organization
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Legal Business Name | DASSA ORTHOPEDIC MEDICAL SERVICES, PC
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Dates
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Enumeration Date | 12/23/2015
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Last Update Date | 12/23/2015
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Provider Practice Location Address
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Address Line | 253 ROUTE 211 E, 2ND FLOOR
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City | MIDDLETOWN
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State | NY
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Zip | 10940
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Country | US
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Telephone | 845-956-1313
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Fax |
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Provider Business Mailing Address
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Address Line | 7 CARLTON DR
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City | MT. KISCO
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State | NY
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Zip | 10549
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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 | PRESIDENT
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Name | GABRIEL DASSA
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Credential |
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Telephone | 845-956-1313
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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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