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General NPI Number Information
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NPI Number | 1346366622
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND FOOT AND ANKLE ASSOCIATES, PC
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 407 EAST AVE SUITE 120
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City | PAWTUCKET
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State | RI
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Zip | 02860-5299
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Country | US
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Telephone | 401-726-7777
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Fax | 401-727-1212
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Provider Business Mailing Address
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Address Line | 407 EAST AVE SUITE 120
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City | PAWTUCKET
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State | RI
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Zip | 02860-5299
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Country | US
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Telephone | 401-726-7777
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Fax | 401-727-1212
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. JOHN MANUEL SIMOES
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Credential | DPM
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Telephone | 401-726-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | DPM00312
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License Number State | RI
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