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General NPI Number Information
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NPI Number | 1538238233
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Entity Type | Individual
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Provider Name | MARK ALAN SCHOTTENFELD MD
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Gender | Male
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 04/27/2010
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Provider Practice Location Address
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Address Line | 3 PROGRESS ST SUITE 106
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City | EDISON
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State | NJ
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Zip | 08820-1180
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Country | US
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Telephone | 908-222-8858
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Fax | 908-222-8857
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Provider Business Mailing Address
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Address Line | 3 PROGRESS ST SUITE 106
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City | EDISON
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State | NJ
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Zip | 08820-1180
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Country | US
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Telephone | 908-222-8858
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Fax | 908-222-8857
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 25MA02668300
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License Number State | NJ
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