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General NPI Number Information
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NPI Number | 1174722276
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Entity Type | Organization
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Legal Business Name | MARIANNE LANTS DPM, P.C.
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 07/17/2007
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Provider Practice Location Address
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Address Line | 1042 HUGUENOT AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10312-4315
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Country | US
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Telephone | 718-948-3838
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Fax |
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Provider Business Mailing Address
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Address Line | 208 HOLTON AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10309-3739
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Country | US
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Telephone | 347-256-6732
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARIANNE LANTS
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Credential | D.P.M.
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Telephone | 347-256-6732
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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 | 006191
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License Number State | NY
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