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General NPI Number Information
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NPI Number | 1346578572
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Entity Type | Organization
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Legal Business Name | PRETTY FEET PODIATRY CORP
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Dates
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Enumeration Date | 11/29/2009
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Last Update Date | 09/04/2020
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Provider Practice Location Address
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Address Line | 94 GEORGE ST
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City | TENAFLY
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State | NJ
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Zip | 07670-2011
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Country | US
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Telephone | 201-982-1762
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Fax | 718-445-3336
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Provider Business Mailing Address
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Address Line | 94 GEORGE ST
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City | TENAFLY
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State | NJ
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Zip | 07670-2011
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Country | US
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Telephone | 201-982-1762
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Fax | 718-445-3336
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Authorized Official
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Title or Position | OWNER
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Name | TING TING ZHANG
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Credential | D.P.M.
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Telephone | 201-982-1762
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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 | 25MD00291600
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License Number State | NJ
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