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General NPI Number Information
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NPI Number | 1376575530
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Entity Type | Individual
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Provider Name | ANTHONY ROBERT ALESSI DPM
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 01/24/2014
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Provider Practice Location Address
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Address Line | 1414 KILBORN DRIVE
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City | PETOSKEY
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State | MI
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Zip | 49770
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Country | US
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Telephone | 231-347-5111
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Fax | 231-347-5115
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Provider Business Mailing Address
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Address Line | 1414 KILBORN DRIVE
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City | PETOSKEY
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State | MI
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Zip | 49770
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Country | US
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Telephone | 231-347-5111
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Fax | 231-347-5115
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 5901001433
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License Number State | MI
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