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General NPI Number Information
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NPI Number | 1184073256
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Entity Type | Organization
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Legal Business Name | J. ALEXANDER JARBATH D.P.M., P.C.
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Dates
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Enumeration Date | 06/08/2016
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Last Update Date | 07/25/2016
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Provider Practice Location Address
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Address Line | 7 SURREY LN
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City | HEMPSTEAD
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State | NY
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Zip | 11550-3521
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Country | US
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Telephone | 917-378-2305
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Fax | 516-538-0361
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Provider Business Mailing Address
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Address Line | 7 SURREY LN
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City | HEMPSTEAD
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State | NY
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Zip | 11550-3521
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Country | US
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Telephone | 917-378-2305
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Fax | 516-538-0361
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN ALEXANDER JARBATH
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Credential | D.P.M.
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Telephone | 917-378-2305
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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 | 005380
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License Number State | NY
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