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General NPI Number Information
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NPI Number | 1073140539
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Entity Type | Individual
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Provider Name | DANIELLE ELIZABETH PUTUR
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Gender | Female
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Dates
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Enumeration Date | 03/25/2020
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 611 NORTHERN BOULEVARD SUITE 200
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City | BRONX
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State | NY
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Zip | 10467-2401
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Country | US
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Telephone | 855-201-3272
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Fax | 516-325-7190
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Provider Business Mailing Address
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Address Line | 611 NORTHERN BLOUEVARD SUITE 200
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City | GREAT NECK
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State | NY
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Zip | 11021
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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 |
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Name |
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Credential |
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Telephone |
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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 | 336268-01
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License Number State | NY
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