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General NPI Number Information
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NPI Number | 1134372303
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Entity Type | Organization
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Legal Business Name | BRONX FOOT REHABILITATION ASSOCIATES
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Dates
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Enumeration Date | 10/31/2008
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Last Update Date | 04/21/2009
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Provider Practice Location Address
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Address Line | 326 E 204TH ST
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City | BRONX
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State | NY
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Zip | 10467-4602
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Country | US
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Telephone | 718-655-3410
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Fax | 718-655-3475
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Provider Business Mailing Address
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Address Line | 326 E 204TH ST
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City | BRONX
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State | NY
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Zip | 10467-4602
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Country | US
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Telephone | 718-655-3410
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Fax | 718-655-3475
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | JIAN ZHANG
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Credential | DPM
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Telephone | 718-655-3410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | N005547
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License Number State | NY
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