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General NPI Number Information
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NPI Number | 1619156262
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Entity Type | Organization
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Legal Business Name | FPJ MANAGE OPP INC.
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Dates
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Enumeration Date | 10/31/2007
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Last Update Date | 10/31/2007
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Provider Practice Location Address
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Address Line | 1 HAWKINS AVE
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City | RONKONKOMA
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State | NY
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Zip | 11779-5832
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Country | US
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Telephone | 631-981-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 44 A MIDDLE COUNTRY RD
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City | MIDDLE ISLAND
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State | NY
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Zip | 11953
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Country | US
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Telephone | 631-696-7017
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN ANDREW FERRO
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Credential |
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Telephone | 631-696-7017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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