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General NPI Number Information
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NPI Number | 1437672813
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Entity Type | Organization
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Legal Business Name | OPM FLEX LLC
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Dates
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Enumeration Date | 07/18/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 633 TOTOWA RD
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City | TOTOWA
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State | NJ
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Zip | 07512-1618
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Country | US
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Telephone | 973-844-1155
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Fax | 973-844-1910
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Provider Business Mailing Address
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Address Line | 633 TOTOWA RD
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City | TOTOWA
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State | NJ
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Zip | 07512-1618
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Country | US
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Telephone | 973-844-1155
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Fax | 973-844-1910
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Authorized Official
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Title or Position | OWNER
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Name | FRANK NICOSIA
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Credential | DO
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Telephone | 973-766-3111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | MC05748
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License Number State | NJ
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