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General NPI Number Information
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NPI Number | 1710370929
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Entity Type | Organization
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Legal Business Name | NORTH JERSEY PEDIATRIC ORTHOPAEDIC SPECIALISTS, LLC
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Dates
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Enumeration Date | 03/12/2015
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Last Update Date | 03/12/2015
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Provider Practice Location Address
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Address Line | 246 HAMBURG TPKE SUITE 305
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City | WAYNE
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State | NJ
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Zip | 07470-2156
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Country | US
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Telephone | 973-689-6266
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Fax | 973-689-6264
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Provider Business Mailing Address
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Address Line | 246 HAMBURG TPKE SUITE 302
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City | WAYNE
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State | NJ
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Zip | 07470-2156
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Country | US
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Telephone | 973-689-6266
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Fax | 973-689-6264
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Authorized Official
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Title or Position | OWNER
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Name | DR. GARRICK A. COX
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Credential | MD
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Telephone | 973-689-6266
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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 | MA08015500
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License Number State | NJ
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