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General NPI Number Information
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NPI Number | 1245938323
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Entity Type | Organization
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Legal Business Name | COASTLINE FOOT AND ANKLE SPECIALISTS LLC
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Dates
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Enumeration Date | 02/20/2023
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 131 BOSTON POST RD
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City | EAST LYME
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State | CT
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Zip | 06333-1605
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Country | US
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Telephone | 860-739-1944
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Fax | 860-739-1974
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Provider Business Mailing Address
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Address Line | 131 BOSTON POST RD
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City | EAST LYME
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State | CT
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Zip | 06333-1605
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Country | US
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Telephone | 860-739-1944
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Fax | 860-739-1974
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Authorized Official
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Title or Position | PHYSICIAN/CO-FOUNDER
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Name | DR. MICHAL M SZPARA
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Credential | DPM
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Telephone | 203-767-8478
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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 |
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License Number State |
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