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General NPI Number Information
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NPI Number | 1104989292
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC PHYSICIANS & SURGEONS, P.C.
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 975 LEHIGH AVE
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City | UNION
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State | NJ
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Zip | 07083-7632
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Country | US
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Telephone | 908-686-1488
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Fax | 908-687-7886
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Provider Business Mailing Address
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Address Line | 975 LEHIGH AVE
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City | UNION
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State | NJ
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Zip | 07083-7632
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Country | US
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Telephone | 908-686-1488
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Fax | 908-687-7886
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. REBECCA A MONTESANO
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Credential | RN
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Telephone | 908-686-1488
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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 |
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License Number State |
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