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General NPI Number Information
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NPI Number | 1366740821
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Entity Type | Organization
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Legal Business Name | LONG ISLAND ORTHOPAEDIC & SPINE SPECIALISTS PC
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Dates
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Enumeration Date | 03/08/2011
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Last Update Date | 01/20/2014
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Provider Practice Location Address
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Address Line | 100 HOSPITAL RD SUITE 115
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City | EAST PATCHOGUE
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State | NY
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Zip | 11772-8809
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Country | US
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Telephone | 631-687-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 100 HOSPITAL RD SUITE 115
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City | EAST PATCHOGUE
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State | NY
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Zip | 11772-8809
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Country | US
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Telephone | 631-687-4200
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | APAZIDIS ALEXIOS
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Credential | MD
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Telephone | 631-687-4200
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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 |
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License Number State |
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