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General NPI Number Information
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NPI Number | 1316019300
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Entity Type | Organization
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Legal Business Name | PLASTIC SURGERY CENTER OF NEW
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 01/07/2011
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Provider Practice Location Address
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Address Line | 131 MADISON AVE SUITE 120
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7360
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Country | US
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Telephone | 973-540-9546
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Fax | 973-540-0344
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Provider Business Mailing Address
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Address Line | 131 MADISON AVE SUITE 120
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7360
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Country | US
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Telephone | 973-540-9546
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Fax | 973-540-0344
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL J PYO
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Credential | MD
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Telephone | 973-540-9546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 25MA06570500
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License Number State | NJ
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