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General NPI Number Information
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NPI Number | 1376541896
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Entity Type | Individual
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Provider Name | DARA JEANNE SPERBER DPM
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Gender | Female
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 03/15/2018
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Provider Practice Location Address
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Address Line | 127 ELMORA AVE
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City | ELIZABETH
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State | NJ
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Zip | 07202-1692
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Country | US
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Telephone | 908-352-3309
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Fax | 908-352-7961
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Provider Business Mailing Address
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Address Line | 7 ABBOTT HOLLOW CT
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City | MARTINSVILLE
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State | NJ
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Zip | 08836-2225
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Country | US
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Telephone | 732-271-9545
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 25MD00199900
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License Number State | NJ
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