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General NPI Number Information
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NPI Number | 1487138764
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Entity Type | Organization
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Legal Business Name | UNIVERSITY ORTHOPAEDIC ASSOCIATES, LLC
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Dates
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Enumeration Date | 09/21/2018
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Last Update Date | 09/21/2018
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Provider Practice Location Address
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Address Line | 740 US HIGHWAY 1 N
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City | ISELIN
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State | NJ
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Zip | 08830-2652
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Country | US
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Telephone | 732-853-8610
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Fax | 732-853-8625
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Provider Business Mailing Address
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Address Line | 2 WORLDS FAIR DR
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City | SOMERSET
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State | NJ
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Zip | 08873-1369
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Country | US
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Telephone | 732-537-0909
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Fax |
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Authorized Official
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Title or Position | CCS MANAGER
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Name | JOANNE WEBER
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Credential | CPC
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Telephone | 732-537-0909
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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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