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General NPI Number Information
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NPI Number | 1467765826
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Entity Type | Organization
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Legal Business Name | ADVANCED ORTHOPEDICS OF THE FINGER LAKES
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Dates
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Enumeration Date | 07/14/2010
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Last Update Date | 07/14/2010
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Provider Practice Location Address
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Address Line | 12 TURNBERRY RD
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City | HORSEHEADS
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State | NY
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Zip | 14845-2200
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Country | US
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Telephone | 607-210-1968
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Fax | 607-210-1971
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Provider Business Mailing Address
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Address Line | 12 TURNBERRY RD
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City | HORSEHEADS
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State | NY
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Zip | 14845-2200
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Country | US
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Telephone | 607-210-1968
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Fax | 607-210-1971
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | TARIQ HUSSAIN
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Credential | M.D.
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Telephone | 607-210-1968
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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 |
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License Number State |
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