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General NPI Number Information
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NPI Number | 1275610982
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Entity Type | Organization
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Legal Business Name | TEJ PODIATRIC GROUP P.C
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/14/2008
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Provider Practice Location Address
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Address Line | 33 W 125TH ST 2ND FLOOR ROOM #5
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City | NEW YORK
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State | NY
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Zip | 10027-4512
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Country | US
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Telephone | 212-369-7340
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Fax | 212-369-1071
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Provider Business Mailing Address
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Address Line | 33 W 125TH ST 2ND FLOOR ROOM #5
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City | NEW YORK
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State | NY
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Zip | 10027-4512
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Country | US
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Telephone | 212-369-7340
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Fax | 212-369-1071
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. JIGNASA P JOSHI
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Credential | DPM
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Telephone | 212-369-7340
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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 | N004752-1
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License Number State | NY
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