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General NPI Number Information
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NPI Number | 1003926122
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Entity Type | Individual
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Provider Name | MICHAEL TRITTO D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 11801 ROCKVILLE PIKE SUITE 105
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City | ROCKVILLE
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State | MD
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Zip | 20852-2734
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Country | US
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Telephone | 301-881-6222
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Fax | 301-881-1639
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Provider Business Mailing Address
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Address Line | PO BOX 825159
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City | PHILADELPHIA
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State | PA
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Zip | 19182-5159
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Country | US
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Telephone | 301-866-1639
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Fax | 301-881-6222
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 01107
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License Number State | MD
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