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General NPI Number Information
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NPI Number | 1841560307
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Entity Type | Organization
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Legal Business Name | OPERATIVE ASSOCIATES, LLC
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Dates
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Enumeration Date | 12/30/2011
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Last Update Date | 12/30/2011
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Provider Practice Location Address
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Address Line | 91 VERNON DRIVE
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City | SCARSDALE
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State | NY
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Zip | 10583
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Country | US
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Telephone | 914-320-3025
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Fax | 914-713-8605
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Provider Business Mailing Address
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Address Line | 91 VERNON DRIVE
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City | SCARSDALE
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State | NY
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Zip | 10583
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Country | US
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Telephone | 914-320-3025
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Fax | 914-713-8605
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT / CEO
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Name | MR. PAUL TRAPASSO
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Credential | PA
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Telephone | 914-320-3025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 006480-1
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License Number State | NY
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