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General NPI Number Information
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NPI Number | 1851398390
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Entity Type | Individual
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Provider Name | HORST OERTEL C.P.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 916 SOMERSET ST
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City | WATCHUNG
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State | NJ
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Zip | 07069-6305
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Country | US
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Telephone | 908-757-2702
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Fax | 908-757-0744
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Provider Business Mailing Address
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Address Line | 916 SOMERSET ST
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City | WATCHUNG
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State | NJ
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Zip | 07069-6305
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Country | US
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Telephone | 908-757-2702
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Fax | 908-757-0744
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number | CP763
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License Number State | NJ
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