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General NPI Number Information
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NPI Number | 1790828184
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Entity Type | Organization
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Legal Business Name | FAMILY ORTHOPAEDICS, LLC
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12 VILLAGE ST SUITE 8
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City | NORTH HAVEN
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State | CT
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Zip | 06473-3828
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Country | US
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Telephone | 203-453-1088
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Fax | 203-458-2980
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Provider Business Mailing Address
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Address Line | 1200 BOSTON POST RD SUITE 201-B
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City | GUILFORD
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State | CT
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Zip | 06437-2450
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Country | US
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Telephone | 203-453-1088
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Fax | 203-458-2980
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES SCHUYLER MARSH
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Credential | M.D.
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Telephone | 203-453-1088
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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 | 028508
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License Number State | CT
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