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General NPI Number Information
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NPI Number | 1194888297
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Entity Type | Individual
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Provider Name | JOSHUA SCOTT DINES MD
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Gender | Male
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 03/30/2021
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Provider Practice Location Address
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Address Line | 333 EARLE OVINGTON BLVD STE 106
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City | UNIONDALE
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State | NY
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Zip | 11553
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Country | US
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Telephone | 516-482-1037
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Fax | 516-482-9217
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Provider Business Mailing Address
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Address Line | 333 EARLE OVINGTON BLVD STE 101
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City | UNIONDALE
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State | NY
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Zip | 11553-3645
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Country | US
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Telephone | 646-872-1890
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Fax | 516-482-9217
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | A94017
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License Number State | CA
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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 | 237583
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License Number State | NY
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