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General NPI Number Information
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NPI Number | 1023750668
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Entity Type | Individual
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Provider Name | LORI B KANTER D.P. M, R.D
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Gender | Female
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Dates
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Enumeration Date | 04/13/2022
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Last Update Date | 04/13/2022
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Provider Practice Location Address
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Address Line | 4 MICHAELS LN
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City | GLEN HEAD
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State | NY
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Zip | 11545-2015
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Country | US
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Telephone | 516-671-9052
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Fax |
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Provider Business Mailing Address
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Address Line | 4 MICHAELS LN
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City | GLEN HEAD
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State | NY
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Zip | 11545-2015
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Country | US
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Telephone | 516-671-8806
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N004105-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | 007647-1
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License Number State | NY
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