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General NPI Number Information
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NPI Number | 1255525788
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Entity Type | Organization
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Legal Business Name | CHARLES MORELLI DPM P.C.
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Dates
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Enumeration Date | 08/28/2007
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 910 E BOSTON POST RD
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City | MAMARONECK
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State | NY
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Zip | 10543-4109
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Country | US
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Telephone | 914-835-6604
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Fax | 914-835-6913
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Provider Business Mailing Address
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Address Line | 910 E BOSTON POST RD
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City | MAMARONECK
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State | NY
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Zip | 10543-4109
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Country | US
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Telephone | 914-835-6604
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Fax | 914-835-6913
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHARLES MORELLI
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Credential | DPM P.C.
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Telephone | 914-835-6604
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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 | N004812
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License Number State | NY
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