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General NPI Number Information
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NPI Number | 1245746619
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Entity Type | Organization
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Legal Business Name | ALEX MAND DPM INC
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Dates
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Enumeration Date | 12/21/2017
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Last Update Date | 12/21/2017
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Provider Practice Location Address
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Address Line | 7 RIDGE DR W
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City | ROSLYN
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State | NY
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Zip | 11576-1413
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Country | US
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Telephone | 516-365-2026
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Fax |
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Provider Business Mailing Address
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Address Line | 7 RIDGE DR W
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City | ROSLYN
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State | NY
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Zip | 11576-1413
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. ALEX B MAND
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Credential | DPM
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Telephone | 516-365-2026
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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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