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General NPI Number Information
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NPI Number | 1326310152
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Entity Type | Organization
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Legal Business Name | JOHN W. ACAMPA MD PC
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Dates
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Enumeration Date | 02/09/2012
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Last Update Date | 02/09/2012
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Provider Practice Location Address
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Address Line | 180 E MAIN ST
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City | BAY SHORE
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State | NY
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Zip | 11706-8427
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Country | US
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Telephone | 631-968-8400
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Fax | 631-968-1711
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Provider Business Mailing Address
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Address Line | 180 E MAIN ST
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City | BAY SHORE
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State | NY
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Zip | 11706-8427
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Country | US
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Telephone | 631-968-8400
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Fax | 631-968-1711
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Authorized Official
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Title or Position | MEDICAL BILLER
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Name | MISS MINDY A BREEN
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Credential |
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Telephone | 631-968-8400
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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 | 157345-1
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License Number State | NY
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