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General NPI Number Information
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NPI Number | 1114097722
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Entity Type | Organization
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Legal Business Name | HESS BONDI LLC
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 09/08/2011
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Provider Practice Location Address
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Address Line | 438 GANTTOWN RD STE B4
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City | SEWELL
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State | NJ
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Zip | 08080
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Country | US
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Telephone | 856-589-0990
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Fax | 856-589-3254
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Provider Business Mailing Address
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Address Line | 438 GANTTOWN RD STE B4
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City | SEWELL
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State | NJ
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Zip | 08080
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Country | US
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Telephone | 856-589-0990
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Fax | 856-589-3254
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Authorized Official
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Title or Position | OWNER
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Name | DR. JACK M BONDI
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Credential | DPM
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Telephone | 856-589-0990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | MD01175
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | MD002786
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | MD002247
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License Number State | NJ
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