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General NPI Number Information
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NPI Number | 1073726972
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Entity Type | Organization
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Legal Business Name | EDISON FOOT AND ANKLE CARE PC
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 1037 AMBOY AVE STE 1
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City | EDISON
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State | NJ
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Zip | 08837-2917
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Country | US
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Telephone | 732-494-5601
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Fax | 732-321-6530
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Provider Business Mailing Address
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Address Line | 1037 AMBOY AVE STE 1
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City | EDISON
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State | NJ
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Zip | 08837-2917
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Country | US
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Telephone | 732-494-5601
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Fax | 732-321-6530
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Authorized Official
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Title or Position | BILLING REP
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Name | COLLEEN MELIA
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Credential |
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Telephone | 732-494-5601
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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 |
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License Number State |
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