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General NPI Number Information
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NPI Number | 1285856435
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Entity Type | Organization
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Legal Business Name | NORTH SHORE PODIARTY ASSOCIATES, INC.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 04/14/2008
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Provider Practice Location Address
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Address Line | 205 ANDOVER STREET
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City | PEABODY
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State | MA
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Zip | 01960-1603
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Country | US
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Telephone | 978-531-4484
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Fax | 978-531-0289
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Provider Business Mailing Address
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Address Line | 205 ANDOVER ST ROUTE 114
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City | PEABODY
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State | MA
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Zip | 01960-1603
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Country | US
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Telephone | 978-531-4484
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Fax | 978-531-0289
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Authorized Official
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Title or Position | CEO
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Name | DR. ELIOT G SHERR
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Credential | DPM
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Telephone | 978-531-4484
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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 | 1497
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License Number State | MA
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