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General NPI Number Information
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NPI Number | 1194968149
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Entity Type | Organization
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Legal Business Name | JONAT LOK, DPM, PC
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Dates
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Enumeration Date | 04/07/2009
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Last Update Date | 04/05/2018
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Provider Practice Location Address
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Address Line | 13347 SANFORD AVE STE 2C
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City | FLUSHING
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State | NY
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Zip | 11355-5816
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Country | US
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Telephone | 718-321-8395
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Fax | 866-596-9505
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Provider Business Mailing Address
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Address Line | 29 MAPLE ST
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City | ROSLYN HEIGHTS
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State | NY
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Zip | 11577-1906
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Country | US
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Telephone | 917-776-5127
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Fax | 866-596-9505
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JONAT LOK
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Credential | DPM
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Telephone | 917-776-5127
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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 | N005854
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License Number State | NY
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