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General NPI Number Information
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NPI Number | 1104913706
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Entity Type | Organization
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Legal Business Name | OCEANSIDE PODIATRY
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 07/01/2024
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Provider Practice Location Address
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Address Line | 2965 LONG BEACH RD
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City | OCEANSIDE
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State | NY
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Zip | 11572-3204
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Country | US
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Telephone | 516-766-8500
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Fax | 516-766-8526
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Provider Business Mailing Address
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Address Line | 2965 LONG BEACH RD
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City | OCEANSIDE
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State | NY
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Zip | 11572-3204
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Country | US
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Telephone | 516-766-8500
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Fax | 516-766-8526
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JOSETTE ZAPPA
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Credential |
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Telephone | 516-766-8500
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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 | NY
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