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General NPI Number Information
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NPI Number | 1063560522
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Entity Type | Organization
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Legal Business Name | WARREN B. MANGEL, DPM
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 10/12/2012
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Provider Practice Location Address
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Address Line | 6650 BROWNING RD SUITE M20
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City | PENNSAUKEN
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State | NJ
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Zip | 08109-1479
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Country | US
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Telephone | 856-963-0190
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Fax | 856-963-5100
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Provider Business Mailing Address
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Address Line | 6650 BROWNING RD SUITE M20
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City | PENNSAUKEN
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State | NJ
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Zip | 08109-1479
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Country | US
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Telephone | 856-963-0190
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Fax | 856-963-5100
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Authorized Official
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Title or Position | DOCTOR
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Name | WARREN MANGEL
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Credential | D.P.M.
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Telephone | 856-963-0190
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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 | 25MD00145500
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License Number State | NJ
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