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General NPI Number Information
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NPI Number | 1235336256
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Entity Type | Organization
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Legal Business Name | MARY FRISCIA DPM PC
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 03/25/2008
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Provider Practice Location Address
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Address Line | 2940 LOWER LINCOLN AVE SUITE 201
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City | OCEANSIDE
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State | NY
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Zip | 11572
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Country | US
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Telephone | 516-678-3468
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Fax | 516-678-1045
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Provider Business Mailing Address
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Address Line | 2940 LOWER LINCOLN AVE SUITE 201
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City | OCEANSIDE
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State | NY
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Zip | 11572
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Country | US
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Telephone | 516-678-3468
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Fax | 516-678-1045
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | MARY A FRISCIA
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Credential | DPM
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Telephone | 516-678-3468
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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 | N005430
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License Number State | NY
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