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General NPI Number Information
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NPI Number | 1316481120
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Entity Type | Organization
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Legal Business Name | THE PODIATRIC SURGEON, P.C.
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Dates
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Enumeration Date | 12/13/2016
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Last Update Date | 04/28/2019
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Provider Practice Location Address
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Address Line | 4240 HUTCHINSON RIVER PKWY E
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City | BRONX
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State | NY
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Zip | 10475-4746
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Country | US
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Telephone | 718-671-2233
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Fax |
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Provider Business Mailing Address
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Address Line | 551 CENTRAL AVE SUITE 21A
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City | CEDARHURST
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State | NY
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Zip | 11516-2192
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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 | DPM
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Name | KARIM BADAWY
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Credential |
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Telephone | 347-421-8563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number |
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License Number State |
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