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NPI 1366590812

NPI 1366590812 : ORTHO STEP INC : LAKEWOOD, NJ

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General NPI Number Information
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    NPI Number           |    1366590812
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    Entity Type          |    Organization 
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    Legal Business Name  |    ORTHO STEP INC 
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Dates
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    Enumeration Date     |    01/08/2007
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    Last Update Date     |    08/17/2023
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Provider Practice Location Address
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    Address Line         |    105 RIVER AVE STE. 103
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    City                 |    LAKEWOOD
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    State                |    NJ
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    Zip                  |    08701-4267
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    Country              |    US
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    Telephone            |    732-905-4049
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    Fax                  |    732-905-8862
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Provider Business Mailing Address
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    Address Line         |    4 LUCERNE DR 
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    City                 |    LAKEWOOD
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    State                |    NJ
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    Zip                  |    08701-2136
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    Country              |    US
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    Telephone            |    732-905-4049
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    Fax                  |    732-905-8862
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Authorized Official
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    Title or Position    |    PRES.
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    Name                 |    MR. JOSHUA  LIEBERMAN 
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    Credential           |    
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    Telephone            |    732-905-4049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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