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General NPI Number Information
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NPI Number | 1134142714
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Entity Type | Individual
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Provider Name | JOEL S BUCHALTER MD
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 06/19/2024
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Provider Practice Location Address
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Address Line | 664 STONELEIGH AVE STE 300 SOMERS ORTHOPAEDIC SURGERY AND SPORTS MED GR PL
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City | CARMEL
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State | NY
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Zip | 10512-3940
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Country | US
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Telephone | 845-278-8400
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Fax | 845-278-4326
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Provider Business Mailing Address
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Address Line | 40 OLD RIDGEBURY RD STE 101
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City | DANBURY
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State | CT
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Zip | 06810-5123
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Country | US
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Telephone | 203-397-6872
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Fax | 203-207-0304
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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 | 29668
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License Number State | CT
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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 | 158554
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 158554
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 29668
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License Number State | CT
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