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General NPI Number Information
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NPI Number | 1427060821
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Entity Type | Individual
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Provider Name | JOSEPH F DEFEO MD
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Gender | Male
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 07/02/2008
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Provider Practice Location Address
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Address Line | 270 SEAMAN AVE
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City | NEW YORK
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State | NY
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Zip | 10034
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Country | US
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Telephone | 212-569-9550
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Fax | 212-304-2776
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Provider Business Mailing Address
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Address Line | 1055 SAW MILL RIVER RD
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City | ARDSLEY
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State | NY
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Zip | 10502
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Country | US
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Telephone | 914-693-6677
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Fax | 914-479-0629
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 128520
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License Number State | NY
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