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General NPI Number Information
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NPI Number | 1194022962
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Entity Type | Organization
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Legal Business Name | SOMERS ORTHOPAEDIC SURGERY & SPORTS MEDICINE GROUP PLLC
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Dates
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Enumeration Date | 02/14/2011
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Last Update Date | 12/03/2012
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Provider Practice Location Address
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Address Line | 7 CHAPIN LN
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City | PAWLING
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State | NY
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Zip | 12564-3337
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Country | US
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Telephone | 845-493-0420
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Fax | 845-493-0314
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Provider Business Mailing Address
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Address Line | 664 STONELEIGH AVE SUITE 300
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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 | 845-278-4320
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Authorized Official
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Title or Position | PARTNER
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Name | DR. JOEL S BUCHALTER
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Credential | MD
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Telephone | 845-278-8400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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