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General NPI Number Information
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NPI Number | 1124212782
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Entity Type | Organization
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Legal Business Name | NIAGARA ORTHOPAEDICS ASSOCIATES PC
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Dates
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Enumeration Date | 08/28/2007
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Last Update Date | 01/06/2014
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Provider Practice Location Address
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Address Line | 700 PARK PL
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City | NIAGARA FALLS
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State | NY
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Zip | 14301-1028
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Country | US
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Telephone | 716-285-7366
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Fax |
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Provider Business Mailing Address
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Address Line | 700 PARK PL
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City | NIAGARA FALLS
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State | NY
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Zip | 14301-1028
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Country | US
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Telephone | 716-285-7366
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Fax |
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | JOSEPH A BAX
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Credential | MD
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Telephone | 716-285-7366
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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 | 143785
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License Number State | NY
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