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NPI 1831650878

NPI 1831650878 : INSPIRE ORTHOPEDIC EDUCATION LLC : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1831650878
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    Entity Type          |    Organization 
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    Legal Business Name  |    INSPIRE ORTHOPEDIC EDUCATION LLC 
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Dates
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    Enumeration Date     |    03/30/2019
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    Last Update Date     |    03/30/2019
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Provider Practice Location Address
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    Address Line         |    231 W 29TH ST RM 301 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10001-5551
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    Country              |    US
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    Telephone            |    917-979-5116
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2 RIVER STREET EXT APT 10 
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    City                 |    LITTLE FERRY
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    State                |    NJ
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    Zip                  |    07643-1112
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    Country              |    US
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    Telephone            |    917-979-5116
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JOHN J LEE 
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    Credential           |    PT
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    Telephone            |    917-979-5116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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