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General NPI Number Information
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NPI Number | 1295277564
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Entity Type | Organization
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Legal Business Name | RIGHT STEP A VISITING PODIATRY SERVICE OF NEW JERSEY LLC
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Dates
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Enumeration Date | 11/17/2016
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Last Update Date | 11/17/2016
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Provider Practice Location Address
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Address Line | 301 MILL RD SUITE U-7
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City | HEWLETT
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State | NY
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Zip | 11557-1291
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Country | US
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Telephone | 516-792-0070
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Fax |
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Provider Business Mailing Address
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Address Line | 301 MILL RD SUITE U-7
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City | HEWLETT
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State | NY
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Zip | 11557-1291
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NACHUM PELCOVITZ
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Credential |
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Telephone | 516-792-0070
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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 |
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License Number State |
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