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General NPI Number Information
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NPI Number | 1891755336
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Entity Type | Organization
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Legal Business Name | STAFFORD ORTHOPEDICS PA
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 11/16/2009
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Provider Practice Location Address
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Address Line | 1168 BEACON AVE
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City | MANAHAWKIN
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State | NJ
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Zip | 08050-2418
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Country | US
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Telephone | 609-597-6092
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Fax | 609-597-7458
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Provider Business Mailing Address
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Address Line | 1168 BEACON AVE
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City | MANAHAWKIN
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State | NJ
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Zip | 08050-2418
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Country | US
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Telephone | 609-597-6092
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Fax | 609-597-7458
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Authorized Official
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Title or Position | OWNER/ ORTHOPEDIC SURGEON
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Name | DR. SAMUEL E EPSTEIN
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Credential | DO
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Telephone | 609-597-6092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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Taxonomy #2
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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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