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General NPI Number Information
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NPI Number | 1982680971
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Entity Type | Individual
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Provider Name | MICHAEL P NETT M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/21/2005
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Last Update Date | 05/07/2012
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Provider Practice Location Address
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Address Line | 301 E MAIN ST
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City | BAY SHORE
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State | NY
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Zip | 11706-8408
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Country | US
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Telephone | 631-968-3777
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Fax |
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Provider Business Mailing Address
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Address Line | 301 EAST MAIN STREET
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City | BAY SHORE
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State | NY
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Zip | 11706
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Country | US
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Telephone | 646-573-5983
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 46810
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License Number State | MN
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