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General NPI Number Information
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NPI Number | 1730245556
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Entity Type | Organization
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Legal Business Name | YKR ORTHOPEDICS
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 901 STATE ROUTE 23 SOUTH FLOOR 2
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City | POMPTON PLAINS
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State | NJ
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Zip | 07444
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Country | US
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Telephone | 973-839-8444
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Fax | 973-839-8445
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Provider Business Mailing Address
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Address Line | 129 SANDPIPER KY
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City | SECAUCUS
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State | NJ
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Zip | 07094-2210
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Country | US
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Telephone | 973-839-8444
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Fax | 973-839-8445
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEEPAK PATEL
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Credential |
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Telephone | 973-839-8444
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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 | 25MA07527300
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License Number State | NJ
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