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General NPI Number Information
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NPI Number | 1053705301
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Entity Type | Organization
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Legal Business Name | TRENTON ORTHOPAEDIC GROUP, PA
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Dates
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Enumeration Date | 03/25/2015
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Last Update Date | 03/25/2015
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Provider Practice Location Address
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Address Line | 1225 WHITEHORSE MERCERVILLE RD BLDG. D, SUITE 220
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City | MERCERVILLE
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State | NJ
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Zip | 08619-3882
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Country | US
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Telephone | 609-581-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 1225 WHITEHORSE MERCERVILLE RD BLDG. D, SUITE 220
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City | MERCERVILLE
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State | NJ
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Zip | 08619-3882
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Country | US
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Telephone | 609-581-2200
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. DANIEL J. FLETCHER
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Credential | MD
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Telephone | 609-581-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 25MP00362200
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License Number State | NJ
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