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General NPI Number Information
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NPI Number | 1134297542
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Entity Type | Individual
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Provider Name | DR. ARGIRIOS MANTZOUKAS
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Gender | Male
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 8635 21ST AVE APT 1C
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City | BROOKLYN
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State | NY
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Zip | 11214-4033
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Country | US
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Telephone | 171-826-6198
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Fax | 718-266-2203
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Provider Business Mailing Address
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Address Line | 8607 21ST AVE
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City | BROOKLYN
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State | NY
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Zip | 11214-4003
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Country | US
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Telephone | 718-266-1986
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Fax | 718-266-2203
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | N006060
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License Number State | NY
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