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General NPI Number Information
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NPI Number | 1104864610
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Entity Type | Organization
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Legal Business Name | OCEAN FOOT AND ANKLE, PC
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 02/11/2008
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Provider Practice Location Address
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Address Line | 1 LEIFRIED LN SUITE B
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City | LITTLE EGG HARBOR TWP
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State | NJ
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Zip | 08087-2000
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Country | US
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Telephone | 609-294-2666
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Fax | 609-294-0606
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Provider Business Mailing Address
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Address Line | 1 LEIFRIED LN SUITE B
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City | LITTLE EGG HARBOR TWP
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State | NJ
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Zip | 08087-2000
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Country | US
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Telephone | 609-294-2666
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Fax | 609-294-0606
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES GIANNAKAROS
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Credential | DPM
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Telephone | 609-294-2666
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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 | MD 002520
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License Number State | NJ
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