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General NPI Number Information
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NPI Number | 1265824478
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Entity Type | Organization
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Legal Business Name | HUDSON VALLEY FOOT ASSOCIATES, LLP
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Dates
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Enumeration Date | 02/25/2015
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Last Update Date | 09/15/2015
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Provider Practice Location Address
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Address Line | 4 PALISADES DR SUITE 250A
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City | ALBANY
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State | NY
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Zip | 12205-1449
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Country | US
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Telephone | 518-458-1771
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Fax | 845-331-6894
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Provider Business Mailing Address
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Address Line | 103 HURLEY AVE
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City | KINGSTON
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State | NY
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Zip | 12401-2829
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Country | US
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Telephone | 845-339-4191
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Fax | 845-331-6894
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MR. CHARLES WALKER
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Credential |
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Telephone | 845-339-4191
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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 | NY
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