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General NPI Number Information
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NPI Number | 1750625430
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Entity Type | Organization
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Legal Business Name | THE FRANKEL ORTHOPEDIC AND SPORTS MEDICINE CENTER LLC
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Dates
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Enumeration Date | 11/19/2012
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Last Update Date | 11/19/2012
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Provider Practice Location Address
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Address Line | 64 CENTRAL SQUARE
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City | LINWOOD
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State | NJ
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Zip | 08221
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Country | US
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Telephone | 609-601-2324
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Fax | 609-601-2327
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Provider Business Mailing Address
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Address Line | 64 CENTRAL SQUARE
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City | LINWOOD
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State | NJ
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Zip | 08221
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Country | US
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Telephone | 609-601-2324
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Fax | 609-601-2327
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Authorized Official
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Title or Position | OWNER
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Name | DR. VICTOR ROBERT FRANKEL
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Credential | M.D.
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Telephone | 609-601-2324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 25MA04116100
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License Number State | NJ
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