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General NPI Number Information
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NPI Number | 1689679722
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Entity Type | Individual
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Provider Name | FRANK ANTHONY LIPORACE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 12/09/2013
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Provider Practice Location Address
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Address Line | 377 JERSEY AVE SUITE 280
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City | JERSEY CITY
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State | NJ
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Zip | 07302-4393
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Country | US
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Telephone | 201-716-5850
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Fax | 201-309-2432
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Provider Business Mailing Address
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Address Line | 377 JERSEY AVE SUITE #280
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City | JERSEY CITY
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State | NJ
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Zip | 07302-4393
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Country | US
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Telephone | 201-716-5850
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Fax | 201-309-2432
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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 | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 25MA07948900
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License Number State | NJ
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