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General NPI Number Information
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NPI Number | 1083923007
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Entity Type | Organization
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Legal Business Name | OSSINING SPINAL CARE
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Dates
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Enumeration Date | 09/27/2010
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Last Update Date | 09/27/2010
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Provider Practice Location Address
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Address Line | 71 CROTON AVE
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City | OSSINING
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State | NY
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Zip | 10562-4903
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Country | US
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Telephone | 914-941-1242
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Fax | 914-941-1141
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Provider Business Mailing Address
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Address Line | 71 CROTON AVE
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City | OSSINING
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State | NY
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Zip | 10562-4903
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Country | US
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Telephone | 914-941-1242
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Fax | 914-941-1141
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. PATRICK T MURPHY
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Credential | D.O.
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Telephone | 914-941-1242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 182117
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 182117
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License Number State | NY
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