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General NPI Number Information
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NPI Number | 1780408047
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Entity Type | Organization
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Legal Business Name | HIGHLINE ORTHOPAEDICS
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 7518 3RD AVE
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City | BROOKLYN
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State | NY
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Zip | 11209-3104
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Country | US
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Telephone | 212-457-0878
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Fax | 212-457-0878
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Provider Business Mailing Address
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Address Line | 75 82ND ST
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City | BROOKLYN
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State | NY
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Zip | 11209-4201
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBERTO F MANCUSO
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Credential | MD
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Telephone | 212-457-0878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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