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General NPI Number Information
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NPI Number | 1427629682
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Entity Type | Organization
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Legal Business Name | LOUIS E. FIERRO, JR, D.C., P.C.
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Dates
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Enumeration Date | 07/08/2021
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Last Update Date | 07/08/2021
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Provider Practice Location Address
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Address Line | 605 MADISON AVE FL 4
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City | NEW YORK
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State | NY
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Zip | 10022-1738
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Country | US
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Telephone | 914-242-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 8 DOGWOOD LN
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City | KATONAH
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State | NY
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Zip | 10536-3214
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Country | US
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Telephone | 914-242-4700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LOUIS FIERRO JR.
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Credential | DC
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Telephone | 941-242-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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