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General NPI Number Information
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NPI Number | 1285811133
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Entity Type | Individual
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Provider Name | GEORGE FOSU BAAH DPM
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Gender | Male
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Dates
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Enumeration Date | 01/23/2008
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Last Update Date | 01/06/2009
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Provider Practice Location Address
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Address Line | 1531 METROPOLITAN AVE
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City | BRONX
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State | NY
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Zip | 10462-6127
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Country | US
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Telephone | 718-597-3111
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Fax |
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Provider Business Mailing Address
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Address Line | 97-11 HORACE HARDING EXPRESSWAY #4J
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City | CORONA
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State | NY
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Zip | 11368-4704
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Country | US
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Telephone | 347-239-2606
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N0062471
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License Number State | NY
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