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General NPI Number Information
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NPI Number | 1326043431
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Entity Type | Individual
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Provider Name | ERIC S. BASKIN DPM
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Gender | Male
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Dates
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Enumeration Date | 06/15/2005
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 1168 BEACON AVE
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City | MANAHAWKIN
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State | NJ
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Zip | 08050-2469
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Country | US
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Telephone | 609-597-6092
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Fax | 609-597-7458
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Provider Business Mailing Address
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Address Line | 401 ROUTE 73 N STE 320
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City | MARLTON
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State | NJ
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Zip | 08053-3426
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Country | US
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Telephone | 856-872-7055
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 25M000279000
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License Number State | NJ
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