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General NPI Number Information
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NPI Number | 1255531539
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Entity Type | Individual
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Provider Name | PATRIZIA E TIRRI PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 342 HAMBURG TPKE SUITE 205
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City | WAYNE
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State | NJ
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Zip | 07470-2162
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Country | US
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Telephone | 973-595-7779
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Fax | 973-595-0182
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Provider Business Mailing Address
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Address Line | 342 HAMBURG TPKE SUITE 205
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City | WAYNE
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State | NJ
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Zip | 07470-2162
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Country | US
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Telephone | 973-595-7779
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Fax | 973-595-0182
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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 | 25MP00148600
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License Number State | NJ
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