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General NPI Number Information
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NPI Number | 1841516127
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Entity Type | Organization
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Legal Business Name | ADVANCED SHOULDER KNEE ORTHOPEDICS P C
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Dates
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Enumeration Date | 04/13/2010
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Last Update Date | 04/13/2010
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Provider Practice Location Address
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Address Line | 476 BAY RIDGE PKWY
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City | BROOKLYN
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State | NY
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Zip | 11209-2702
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Country | US
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Telephone | 914-305-4633
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Fax |
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Provider Business Mailing Address
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Address Line | 240 E 39TH ST APT 8B
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City | NEW YORK
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State | NY
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Zip | 10016-7200
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Country | US
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Telephone | 914-305-4633
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL YOO
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Credential | M.D.
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Telephone | 914-305-4633
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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 | 253718
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License Number State | NY
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