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General NPI Number Information
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NPI Number | 1306175690
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Entity Type | Organization
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Legal Business Name | CHILDREN FIRST ORTHOPEDICS
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Dates
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Enumeration Date | 12/15/2009
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Last Update Date | 12/15/2009
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Provider Practice Location Address
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Address Line | 194 MAIN ST
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City | MILLBURN
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State | NJ
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Zip | 07041-1144
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Country | US
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Telephone | 973-258-1010
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Fax | 973-258-4030
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Provider Business Mailing Address
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Address Line | 194 MAIN ST
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City | MILLBURN
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State | NJ
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Zip | 07041-1144
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Country | US
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Telephone | 973-258-1010
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Fax | 973-258-4030
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Authorized Official
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Title or Position | DOCTOR
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Name | MR. FRANK J LIGGIO
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Credential | M.D.
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Telephone | 973-258-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number | 25MA06579400
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License Number State | NJ
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