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General NPI Number Information
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NPI Number | 1982933164
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Entity Type | Organization
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Legal Business Name | CONTEMPORARY ORTHOPEDICS, PLLC
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Dates
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Enumeration Date | 12/16/2009
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 3500 NOSTRAND AVE
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City | BROOKLYN
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State | NY
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Zip | 11229-5107
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Country | US
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Telephone | 718-338-0909
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Fax |
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Provider Business Mailing Address
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Address Line | 3041 AVENUE U STE 3
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City | BROOKLYN
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State | NY
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Zip | 11229-5143
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Country | US
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Telephone | 718-338-0909
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Fax |
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Authorized Official
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Title or Position | MEDICAL SURGICAL BILLING
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Name | JOSE R MEDINA
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Credential |
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Telephone | 718-338-0909
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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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