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General NPI Number Information
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NPI Number | 1295867463
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Entity Type | Organization
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Legal Business Name | DANA WEBB
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 02/15/2008
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Provider Practice Location Address
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Address Line | 720 ROUTE 202 206 NORTH
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City | BRIDGEWATER
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State | NJ
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Zip | 08807
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Country | US
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Telephone | 908-704-8778
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Fax | 908-704-8172
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Provider Business Mailing Address
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Address Line | 720 ROUTE 202-206 NORTH
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City | BRIDGEWATER
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State | NJ
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Zip | 08807
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Country | US
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Telephone | 908-704-8778
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Fax | 908-704-8172
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Authorized Official
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Title or Position | OWNER PHYSCIAN
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Name | DR. DANA KENNETH WEBB
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Credential | D.P.M.
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Telephone | 908-704-8778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | MD02538
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | MD01980
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License Number State | NJ
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