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General NPI Number Information
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NPI Number | 1427227743
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Entity Type | Organization
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Legal Business Name | NYCONN ORTHOPAEDIC & REHABILITATION SPECIALISTS, PLLC
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | 3219 E TREMONT AVE
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City | BRONX
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State | NY
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Zip | 10461-5751
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Country | US
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Telephone | 718-892-2022
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Fax | 718-892-2144
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Provider Business Mailing Address
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Address Line | 2900 WESTCHESTER AVE SUITE 307
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City | PURCHASE
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State | NY
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Zip | 10577-2552
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Country | US
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Telephone | 914-249-7000
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Fax | 914-249-7032
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | JOHN D DOWDLE
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Credential | MD
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Telephone | 914-249-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #3
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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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