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General NPI Number Information
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NPI Number | 1891726964
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Entity Type | Organization
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Legal Business Name | 3B ORTHOPAEDICS OF N J PC
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 08/06/2007
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Provider Practice Location Address
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Address Line | 1400 MARLTON PIKE E
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City | CHERRY HILL
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State | NJ
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Zip | 08034-2230
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Country | US
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Telephone | 215-829-2499
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Fax | 215-829-2487
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Provider Business Mailing Address
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Address Line | PO BOX 828079
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City | PHILADELPHIA
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State | PA
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Zip | 19182-8079
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Country | US
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Telephone | 215-829-2499
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Fax | 215-829-2487
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Authorized Official
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Title or Position | CEO
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Name | DR. ROBERT E BOOTH JR.
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Credential | MD
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Telephone | 215-829-2499
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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 |
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License Number State |
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