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General NPI Number Information
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NPI Number | 1518929744
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Entity Type | Organization
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Legal Business Name | WYOMING VALLEY ORTHOPEDICS
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 400 N MAIN ST
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City | WARSAW
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State | NY
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Zip | 14569-1025
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Country | US
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Telephone | 585-786-1220
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Fax | 585-786-1223
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Provider Business Mailing Address
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Address Line | 400 N MAIN ST
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City | WARSAW
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State | NY
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Zip | 14569-1025
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Country | US
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Telephone | 585-786-1220
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Fax | 585-786-1223
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Authorized Official
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Title or Position | DOCTOR
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Name | DANIEL M DOWNS
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Credential | MD
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Telephone | 585-786-1220
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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 | 135334
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License Number State | NY
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