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General NPI Number Information
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NPI Number | 1760461172
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Entity Type | Individual
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Provider Name | MICHAEL F LOSPINUSO MD
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Gender | Male
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Dates
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Enumeration Date | 01/13/2006
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 365 BROAD ST
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City | RED BANK
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State | NJ
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Zip | 07701-2150
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Country | US
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Telephone | 732-933-4300
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Fax | 732-933-1444
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Provider Business Mailing Address
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Address Line | 365 BROAD ST
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City | RED BANK
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State | NJ
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Zip | 07701-2150
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Country | US
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Telephone | 732-933-4300
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Fax | 732-933-1444
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 25MA05259300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 25MA05259300
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License Number State | NJ
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