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General NPI Number Information
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NPI Number | 1205033396
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Entity Type | Organization
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Legal Business Name | ALINA VASILYEVA-ROZINGER, D.P.M., P.C.
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 01/04/2010
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Provider Practice Location Address
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Address Line | 2116 AVENUE P
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City | BROOKLYN
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State | NY
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Zip | 11229-1507
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Country | US
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Telephone | 718-646-0131
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Fax | 718-646-0131
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Provider Business Mailing Address
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Address Line | 1806 VOORHIES AVE SUITE 1B
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City | BROOKLYN
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State | NY
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Zip | 11235-3647
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Country | US
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Telephone | 718-646-0731
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Fax | 718-646-0731
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ALINA VASILYEVA-ROZINGER
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Credential | D.P.M.
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Telephone | 718-646-0131
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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 | N006046-01
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License Number State | NY
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