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General NPI Number Information
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NPI Number | 1356519532
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Entity Type | Organization
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Legal Business Name | ROBIN A CARLUCCI, DPM
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 04/17/2020
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Provider Practice Location Address
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Address Line | 220 GRACE CHURCH ST
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City | PORT CHESTER
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State | NY
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Zip | 10573-5162
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Country | US
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Telephone | 914-939-7828
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Fax | 914-939-4516
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Provider Business Mailing Address
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Address Line | 220 GRACE CHURCH ST
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City | PORT CHESTER
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State | NY
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Zip | 10573-5162
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Country | US
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Telephone | 718-806-1434
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Fax | 718-806-1435
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBIN CARLUCCI
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Credential | DPM
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Telephone | 914-939-7828
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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 |
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License Number State |
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