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General NPI Number Information
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NPI Number | 1184616203
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Entity Type | Individual
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Provider Name | JON B LOFTUS MD
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Gender | Male
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 10/13/2015
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Provider Practice Location Address
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Address Line | 6620 FLY ROAD STE 200
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City | EAST SYRACUSE
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State | NY
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Zip | 13057
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Country | US
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Telephone | 315-464-4472
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Fax |
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Provider Business Mailing Address
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Address Line | 6620 FLY ROAD STE 200
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City | EAST SYRACUSE
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State | NY
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Zip | 13057
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Country | US
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Telephone | 315-464-4472
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Fax |
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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 | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number | 186641
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | 186641
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 186641
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License Number State | NY
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