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General NPI Number Information
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NPI Number | 1184870339
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Entity Type | Organization
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Legal Business Name | NORTH SHORE PODIATRIC FOOT CARE CONSULTANT PC
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Dates
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Enumeration Date | 08/07/2008
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Last Update Date | 10/02/2008
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Provider Practice Location Address
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Address Line | 3 BEACON HILL RD
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-3003
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Country | US
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Telephone | 515-767-0673
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Fax | 516-767-3338
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Provider Business Mailing Address
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Address Line | 3 BEACON HILL RD
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-3003
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Country | US
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Telephone | 515-767-0673
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Fax | 516-767-3338
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. HIRAM CHIREL
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Credential | DPM
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Telephone | 516-767-0673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 001958
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License Number State | NY
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