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General NPI Number Information
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NPI Number | 1063661254
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC CARE CONSULTANT
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Dates
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Enumeration Date | 09/12/2008
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Last Update Date | 05/26/2016
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Provider Practice Location Address
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Address Line | 346 E 49TH ST 2C
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City | NEW YORK
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State | NY
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Zip | 10017-1642
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Country | US
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Telephone | 347-735-6468
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Fax | 212-918-1601
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Provider Business Mailing Address
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Address Line | 3052 85TH ST
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City | EAST ELMHURST
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State | NY
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Zip | 11370-1927
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Country | US
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Telephone | 347-735-6468
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. CARLOS ARROYO
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Credential | PT
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Telephone | 347-735-6468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 024673
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License Number State | NY
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