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General NPI Number Information
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NPI Number | 1255330395
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Entity Type | Individual
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Provider Name | SANFORD PRONER
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Gender | Male
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 1428 MIDLAND AVE
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City | BRONXVILLE
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State | NY
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Zip | 10708-6042
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Country | US
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Telephone | 914-237-7300
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Fax | 914-237-7301
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Provider Business Mailing Address
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Address Line | 1428 MIDLAND AVE
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City | BRONXVILLE
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State | NY
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Zip | 10708-6042
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Country | US
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Telephone | 914-237-7300
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Fax | 914-237-7301
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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 | N003428-1
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License Number State | NY
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