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General NPI Number Information
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NPI Number | 1073650958
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Entity Type | Organization
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Legal Business Name | THE FOOT & ANKLE PODIATRY,PC
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 929 BRIGHTON RD
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City | TONAWANDA
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State | NY
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Zip | 14150-8113
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Country | US
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Telephone | 716-837-1500
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Fax | 716-837-0799
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Provider Business Mailing Address
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Address Line | 929 BRIGHTON RD
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City | TONAWANDA
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State | NY
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Zip | 14150-8113
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Country | US
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Telephone | 716-837-1500
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Fax | 716-837-0799
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LOUIS AQUINO
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Credential | D.P.M.
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Telephone | 716-837-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | N004057-1
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License Number State | NY
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