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General NPI Number Information
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NPI Number | 1144866955
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Entity Type | Organization
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Legal Business Name | VALENTINO J CIULLO
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Dates
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Enumeration Date | 11/27/2019
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Last Update Date | 11/27/2019
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Provider Practice Location Address
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Address Line | 2301 S 13TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19148-3568
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Country | US
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Telephone | 215-755-2430
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Fax |
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Provider Business Mailing Address
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Address Line | 1533 S BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19147-6206
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Country | US
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Telephone | 215-551-6080
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Fax | 215-551-1819
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Authorized Official
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Title or Position | PRESIDENT
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Name | VALENTINO J CIULLO
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Credential | DMP
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Telephone | 215-755-2430
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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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