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General NPI Number Information
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NPI Number | 1871805333
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Entity Type | Organization
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Legal Business Name | DAVID M LOYA MD LLC
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Dates
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Enumeration Date | 07/12/2010
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Last Update Date | 07/12/2010
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Provider Practice Location Address
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Address Line | 22 OLD SHORT HILLS RD
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5604
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Country | US
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Telephone | 973-271-3422
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Fax | 973-533-9366
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Provider Business Mailing Address
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Address Line | 28 HEARTHSTONE TER
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City | LIVINGSTON
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State | NJ
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Zip | 07039-1806
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Country | US
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Telephone | 973-271-3422
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Fax | 973-533-9366
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Authorized Official
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Title or Position | MANAGER
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Name | DAVID M LOYA
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Credential | MD
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Telephone | 973-271-3422
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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 | MA071079
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License Number State | NJ
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