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General NPI Number Information
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NPI Number | 1164727038
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC REHAB DESIGN
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Dates
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Enumeration Date | 01/24/2011
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Last Update Date | 07/14/2016
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Provider Practice Location Address
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Address Line | 1 MERIDIAN RD
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City | EATONTOWN
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State | NJ
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Zip | 07724-2242
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Country | US
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Telephone | 732-383-5902
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Fax | 732-380-7400
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Provider Business Mailing Address
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Address Line | 1 MERIDIAN RD
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City | EATONTOWN
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State | NJ
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Zip | 07724-2242
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Country | US
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Telephone | 732-383-5902
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Fax | 732-380-7400
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ZSOLT ZENTAI
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Credential | CO
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Telephone | 732-383-5902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 45OR00005200
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License Number State | NJ
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