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General NPI Number Information
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NPI Number | 1760106421
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Entity Type | Organization
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Legal Business Name | ORTHAPAEDIC SPECIALIST OF NEW YORK AND NEW JERSERY LLC
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Dates
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Enumeration Date | 09/27/2022
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 401 HAMBURG TPKE STE 204
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City | WAYNE
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State | NJ
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Zip | 07470-2139
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Country | US
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Telephone | 973-360-6064
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Fax |
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Provider Business Mailing Address
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Address Line | 30 MILOSH ST
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City | CLIFTON
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State | NJ
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Zip | 07011-2004
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Country | US
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Telephone | 862-668-5061
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. DANIEL FEGHHI
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Credential | MD
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Telephone | 862-668-5061
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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 |
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License Number State |
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