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General NPI Number Information
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NPI Number | 1205828787
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Entity Type | Individual
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Provider Name | JOHN M. DEPALMA D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 11/24/2015
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Provider Practice Location Address
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Address Line | 520 STOKES ROAD SUITE C-5
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City | MEDFORD
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State | NJ
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Zip | 08055
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Country | US
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Telephone | 609-714-0052
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Fax | 609-714-3087
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Provider Business Mailing Address
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Address Line | 520 STOKES ROAD SUITE C-5
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City | MEDFORD
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State | NJ
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Zip | 08055
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Country | US
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Telephone | 609-714-0052
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Fax | 609-714-3087
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | MD002233
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 25MD00223300
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License Number State | NJ
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