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General NPI Number Information
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NPI Number | 1972989499
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Entity Type | Organization
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Legal Business Name | INSTITUTE FOR HAND AND ARM SURGERY LLC
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Dates
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Enumeration Date | 08/06/2015
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Last Update Date | 03/16/2020
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Provider Practice Location Address
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Address Line | 620 ESSEX STREET SUITE 202
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City | HARRISON
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State | NJ
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Zip | 07029-2231
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Country | US
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Telephone | 908-217-1413
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Fax | 973-474-1031
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Provider Business Mailing Address
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Address Line | 620 ESSEX STREET SUITE 202
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City | HARRISON
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State | NJ
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Zip | 07029-2231
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Country | US
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Telephone | 908-217-1413
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Fax | 973-474-1031
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Authorized Official
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Title or Position | AUTHORIZED REPRESENTATIVE
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Name | JANICE L GACCIONE
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Credential |
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Telephone | 973-713-2420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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