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General NPI Number Information
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NPI Number | 1598700247
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Entity Type | Organization
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Legal Business Name | RICHARD M. BOCHNER, M.D., P.C.
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 11/07/2008
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Provider Practice Location Address
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Address Line | 2500 MARCUS AVE SUITE 103
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City | LAKE SUCCESS
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State | NY
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Zip | 11042-1018
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Country | US
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Telephone | 516-352-0737
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Fax | 516-352-0819
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Provider Business Mailing Address
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Address Line | PO BOX 843279
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City | BOSTON
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State | MA
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Zip | 02284-3279
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Country | US
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Telephone | 516-352-0737
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Fax | 516-352-0819
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD MARTIN BOCHNER
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Credential | M.D.
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Telephone | 516-352-0737
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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 | 142449
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License Number State | NY
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