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General NPI Number Information
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NPI Number | 1114002441
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Entity Type | Individual
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Provider Name | SALVATORE INSERRA MD
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Gender | Male
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 06/30/2016
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Provider Practice Location Address
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Address Line | 309 MIDDLE COUNTRY RD STE 101
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City | SMITHTOWN
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State | NY
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Zip | 11787
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Country | US
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Telephone | 631-360-2200
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Fax | 631-360-1328
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Provider Business Mailing Address
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Address Line | 45 RESEARCH WAY STE 105
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City | EAST SETAUKET
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State | NY
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Zip | 11733-6401
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Country | US
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Telephone | 631-675-2125
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Fax | 631-675-2624
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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 | 145138-1
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License Number State | NY
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