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General NPI Number Information
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NPI Number | 1295153732
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Entity Type | Organization
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Legal Business Name | JOHN GIRIMONTE, DPM, LLC
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 04/02/2014
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Provider Practice Location Address
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Address Line | 2301 E EVESHAM RD STE 307
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City | VOORHEES
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State | NJ
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Zip | 08043-4503
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Country | US
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Telephone | 856-772-1777
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Fax |
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Provider Business Mailing Address
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Address Line | 2301 E EVESHAM RD STE 307
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City | VOORHEES
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State | NJ
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Zip | 08043-4503
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Country | US
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Telephone | 856-772-1777
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. JOHN GIRIMONTE
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Credential | DPM
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Telephone | 856-772-1777
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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 | 25MD00258800
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License Number State | NJ
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