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General NPI Number Information
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NPI Number | 1083105548
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Entity Type | Organization
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Legal Business Name | FOOT AND ANKLE PREMIER SPECIALISTS LLC
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Dates
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Enumeration Date | 05/21/2018
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 70 HUDSON ST BSMT
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City | HOBOKEN
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State | NJ
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Zip | 07030-5630
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Country | US
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Telephone | 201-659-5222
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Fax | 201-659-0847
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Provider Business Mailing Address
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Address Line | 70 HUDSON ST BSMT
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City | HOBOKEN
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State | NJ
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Zip | 07030-5630
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Country | US
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Telephone | 201-659-5222
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Fax | 201-659-0847
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Authorized Official
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Title or Position | OWNER
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Name | JULIANA PATERNINA
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Credential | DPM
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Telephone | 201-659-5222
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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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