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General NPI Number Information
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NPI Number | 1124849815
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Entity Type | Organization
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Legal Business Name | NORTHEAST ORTHOPAEDIC ALLIANCE PLLC
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Dates
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Enumeration Date | 10/24/2024
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 16 PELHAM RD STE 1
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City | SALEM
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State | NH
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Zip | 03079-3077
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Country | US
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Telephone | 603-898-2244
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 791835
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City | BALTIMORE
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State | MD
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Zip | 21279-1835
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | JOHN R CORSETTI
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Credential | MD
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Telephone | 413-785-4666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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