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General NPI Number Information
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NPI Number | 1255438438
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Entity Type | Organization
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Legal Business Name | ADVANCED PODIATRY AND WOUND CARE, PC.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 09/29/2008
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Provider Practice Location Address
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Address Line | 3250 WESTCHESTER AVE RM 101
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City | BRONX
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State | NY
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Zip | 10461-4500
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Country | US
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Telephone | 718-518-9304
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Fax | 718-518-9401
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Provider Business Mailing Address
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Address Line | 492 N BROADWAY #9
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City | WHITE PLAINS
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State | NY
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Zip | 10603-3238
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Country | US
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Telephone | 718-920-9122
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Fax | 718-920-6835
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Authorized Official
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Title or Position | PRESIDENT
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Name | JIAN ZHANG
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Credential | DPM
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Telephone | 718-920-9122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | N005547
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License Number State | NY
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