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General NPI Number Information
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NPI Number | 1356310528
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Entity Type | Individual
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Provider Name | MARK ANTHONY BIEBEL DPM
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Gender | Male
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 721 N BEERS ST STE. 2C
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City | HOLMDEL
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State | NJ
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Zip | 07733-1518
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Country | US
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Telephone | 732-888-1717
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Fax | 732-888-2101
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Provider Business Mailing Address
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Address Line | 7 FALCONS RIDGE CIR
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City | HOLMDEL
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State | NJ
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Zip | 07733-1961
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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 |
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | MD01539
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License Number State | NJ
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