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General NPI Number Information
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NPI Number | 1679690218
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Entity Type | Organization
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Legal Business Name | ORANGETOWN ORTHOPEDIC ASSOCIATES,LLP
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 11/30/2007
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Provider Practice Location Address
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Address Line | 99 DUTCH HILL RD
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City | ORANGEBURG
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State | NY
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Zip | 10962-2106
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Country | US
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Telephone | 845-359-1877
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Fax | 845-359-2449
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Provider Business Mailing Address
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Address Line | 99 DUTCH HILL RD
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City | ORANGEBURG
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State | NY
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Zip | 10962-2106
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Country | US
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Telephone | 845-359-1877
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Fax | 845-359-2449
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Authorized Official
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Title or Position | PARTNER
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Name | DR. JORDAN A. SIMON
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Credential | MD
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Telephone | 845-359-1877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 1671681
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License Number State | NY
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