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General NPI Number Information
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NPI Number | 1417832924
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Entity Type | Organization
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Legal Business Name | FIRST STATE ORTHOPAEDICS PA
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 601 TOWER LN STE 202
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City | MIDDLETOWN
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State | DE
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Zip | 19709-1763
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Country | US
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Telephone | 302-889-0322
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Fax | 302-889-0340
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Provider Business Mailing Address
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Address Line | 211 EXECUTIVE DR STE 11
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City | NEWARK
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State | DE
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Zip | 19702-3358
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Country | US
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Telephone | 302-731-2888
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Fax | 302-731-7049
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DAVID BLAEUER
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Credential |
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Telephone | 302-731-2888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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