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General NPI Number Information
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NPI Number | 1104230374
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Entity Type | Individual
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Provider Name | ARI DAVID AMITAI MD
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Gender | Male
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Dates
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Enumeration Date | 06/16/2014
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 4140 CENTENNIAL HILLS BLVD STE A
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City | CASPER
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State | WY
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Zip | 82609-3265
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Country | US
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Telephone | 307-265-7205
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Fax | 307-235-6262
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Provider Business Mailing Address
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Address Line | 4140 CENTENNIAL HILLS BLVD STE A
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City | CASPER
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State | WY
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Zip | 82609-3265
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Country | US
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Telephone | 307-265-7205
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Fax | 307-235-6262
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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 | FE167365
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD61448004
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 10391490-1205
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License Number State | UT
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Taxonomy #4
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Taxonomy Code | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number | FE167365
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License Number State | OR
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 12630A
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License Number State | WY
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