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General NPI Number Information
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NPI Number | 1730238841
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Entity Type | Organization
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Legal Business Name | DAVID ORTHOPEDIC
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1401 MARLTON PIKE E SUITE 10
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City | CHERRY HILL
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State | NJ
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Zip | 08034-2207
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Country | US
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Telephone | 856-795-3733
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 MARLTON PIKE E SUITE 10
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City | CHERRY HILL
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State | NJ
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Zip | 08034-2207
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Country | US
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Telephone | 856-795-3733
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. HENRY DAVID
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Credential | DO
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Telephone | 856-795-3733
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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 | 25MB02347300
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License Number State | NJ
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