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General NPI Number Information
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NPI Number | 1144705443
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Entity Type | Organization
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Legal Business Name | NVP PODIATRY, LLC
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Dates
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Enumeration Date | 10/02/2018
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Last Update Date | 03/17/2024
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Provider Practice Location Address
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Address Line | 380 LOWELL ST STE 102
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City | WAKEFIELD
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State | MA
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Zip | 01880-1984
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Country | US
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Telephone | 781-224-3669
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Fax |
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Provider Business Mailing Address
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Address Line | 380 LOWELL ST STE 102
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City | WAKEFIELD
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State | MA
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Zip | 01880-1984
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Country | US
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Telephone | 781-224-3668
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Fax | 781-224-3667
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Authorized Official
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Title or Position | OWNER
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Name | NANCY V. PRECHTL
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Credential | DPM
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Telephone | 781-224-3668
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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 |
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