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General NPI Number Information
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NPI Number | 1275802233
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Entity Type | Organization
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Legal Business Name | SHOES TO YOU
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Dates
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Enumeration Date | 12/21/2011
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Last Update Date | 12/21/2011
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Provider Practice Location Address
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Address Line | 705 HAMBURG TPKE
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City | WAYNE
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State | NJ
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Zip | 07470-2098
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Country | US
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Telephone | 800-697-6074
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2132
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City | WAYNE
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State | NJ
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Zip | 07474-2132
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Country | US
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Telephone | 800-697-6074
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Fax |
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Authorized Official
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Title or Position | OWNER/CERTIFIED SHOE FITTER
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Name | MR. DONALD PIERI
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Credential | CFTS
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Telephone | 800-697-6074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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