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General NPI Number Information
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NPI Number | 1215325899
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Entity Type | Organization
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Legal Business Name | ADVOCATE BRONX FOOT CARE
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Dates
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Enumeration Date | 01/05/2015
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Last Update Date | 01/06/2015
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Provider Practice Location Address
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Address Line | 1120 MORRIS PARK AVE SUITE 3B
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City | BRONX
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State | NY
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Zip | 10461-1400
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Country | US
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Telephone | 718-409-2121
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Fax | 718-655-3475
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Provider Business Mailing Address
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Address Line | 1120 MORRIS PARK AVE SUITE 3B
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City | BRONX
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State | NY
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Zip | 10461-1400
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Country | US
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Telephone | 718-409-2121
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Fax | 718-655-3475
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Authorized Official
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Title or Position | PARTNER
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Name | JALU PATEL
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Credential | DPM
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Telephone | 718-409-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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