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General NPI Number Information
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NPI Number | 1366831729
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Entity Type | Organization
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Legal Business Name | URGENT CARE ORTHOPEDICS P.C.
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Dates
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Enumeration Date | 01/22/2015
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Last Update Date | 01/22/2015
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Provider Practice Location Address
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Address Line | 2092 FRONT ST
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City | EAST MEADOW
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State | NY
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Zip | 11554-1709
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Country | US
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Telephone | 516-478-4178
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Fax |
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Provider Business Mailing Address
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Address Line | 2092 FRONT ST
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City | EAST MEADOW
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State | NY
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Zip | 11554-1709
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Country | US
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Telephone | 516-478-4178
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. ANNE FERET
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Credential |
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Telephone | 516-357-9113
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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 | 190113
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License Number State | NY
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