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General NPI Number Information
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NPI Number | 1801978184
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Entity Type | Organization
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Legal Business Name | MOHAWK VALLEY PLASTIC & RECONSTRUCTIVE SURGERY PLLC
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 04/09/2013
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Provider Practice Location Address
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Address Line | 4401 MIDDLE SETTLEMENT RD STE 102
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City | NEW HARTFORD
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State | NY
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Zip | 13413-5332
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Country | US
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Telephone | 315-735-4996
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Fax | 315-735-7066
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Provider Business Mailing Address
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Address Line | 4401 MIDDLE SETTLEMENT RD STE 102
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City | NEW HARTFORD
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State | NY
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Zip | 13413-5332
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Country | US
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Telephone | 315-735-4996
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Fax | 315-735-7066
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. GREG STEVEN ORLANDO
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Credential | MD
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Telephone | 315-266-0407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 199751
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number | 199751
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License Number State | NY
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