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General NPI Number Information
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NPI Number | 1154624864
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Entity Type | Organization
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Legal Business Name | CASABIANCA & KYROU, DPM, PC
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Dates
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Enumeration Date | 12/20/2010
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Last Update Date | 12/20/2010
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Provider Practice Location Address
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Address Line | 400 WESTAGE BUSINESS CTR DR SUITE 210
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City | FISHKILL
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State | NY
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Zip | 12524-2223
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Country | US
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Telephone | 845-838-8480
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Fax | 845-838-8474
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Provider Business Mailing Address
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Address Line | 1007 ROUTE 82
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City | HOPEWELL JUNCTION
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State | NY
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Zip | 12533-6165
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Country | US
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Telephone | 845-227-6947
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Fax | 845-227-6729
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTOS KYROU
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Credential | DPM
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Telephone | 845-838-8480
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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 | N005423
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License Number State | NY
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