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General NPI Number Information
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NPI Number | 1649528936
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Entity Type | Organization
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Legal Business Name | DENOFF ORTHOPAEDICS, P.A.
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Dates
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Enumeration Date | 08/17/2012
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Last Update Date | 08/17/2012
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Provider Practice Location Address
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Address Line | 1639 N VOLUSIA AVE SUITE B
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City | ORANGE CITY
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State | FL
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Zip | 32763-3843
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Country | US
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Telephone | 386-775-2012
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Fax | 386-774-7227
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Provider Business Mailing Address
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Address Line | 1639 N VOLUSIA AVE SUITE B
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City | ORANGE CITY
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State | FL
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Zip | 32763-3843
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Country | US
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Telephone | 386-775-2012
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Fax | 386-774-7227
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Authorized Official
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Title or Position | OWNER
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Name | DR. FRANK DENOFF
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Credential | M.D.
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Telephone | 386-775-2012
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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 | ME73292
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License Number State | FL
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