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General NPI Number Information
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NPI Number | 1316313380
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Entity Type | Organization
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Legal Business Name | FOOT AND ANKLE CARE OF SOUTH JERSEY, LLC
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Dates
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Enumeration Date | 08/13/2015
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Last Update Date | 11/05/2015
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Provider Practice Location Address
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Address Line | 303 HADDONFIELD BERLIN RD
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City | VOORHEES
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State | NJ
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Zip | 08043-1412
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Country | US
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Telephone | 856-429-5100
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Fax | 856-429-5800
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Provider Business Mailing Address
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Address Line | 100 SPRINGDALE RD STE A3, PMB 402
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City | CHERRY HILL
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State | NJ
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Zip | 08003-3300
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Country | US
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Telephone | 856-429-5100
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY S. ROSENMAN
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Credential | D.P.M., M.SC.B.
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Telephone | 856-429-5100
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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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