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General NPI Number Information
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NPI Number | 1235167230
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Entity Type | Individual
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Provider Name | ANDREW JOSEPH TUBIOLO DPM
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Gender | Male
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 07/17/2012
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Provider Practice Location Address
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Address Line | 714 TITUS AVE
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City | ROCHESTER
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State | NY
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Zip | 14617-3927
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Country | US
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Telephone | 585-288-4050
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Fax | 585-787-0293
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Provider Business Mailing Address
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Address Line | 34 HAWKES TRL
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City | WEBSTER
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State | NY
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Zip | 14580-4213
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Country | US
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Telephone | 585-670-0683
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Fax | 585-787-0293
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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 | N003297
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License Number State | NY
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