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General NPI Number Information
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NPI Number | 1922556562
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Entity Type | Individual
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Provider Name | JONATHAN SCOTT HESS CPO-LPO
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Gender | Male
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Dates
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Enumeration Date | 09/12/2016
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Last Update Date | 09/12/2016
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Provider Practice Location Address
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Address Line | 329 ROUTE 211 E
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City | MIDDLETOWN
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State | NY
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Zip | 10940-2804
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Country | US
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Telephone | 845-343-9685
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Fax |
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Provider Business Mailing Address
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Address Line | 6 CRESCENT PL
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City | MONROE
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State | NY
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Zip | 10950-2514
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Country | US
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Telephone | 845-343-9685
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Fax |
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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 | 222Z00000X
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Taxonomy Name | Orthotist
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License Number | 45PO00016200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number | 45PO00016200
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License Number State | NJ
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