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General NPI Number Information
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NPI Number | 1376634584
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Entity Type | Individual
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Provider Name | DINO DITROLIO DPM
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Gender | Male
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 11/11/2022
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Provider Practice Location Address
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Address Line | 64 FAIRVIEW AVE
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City | WESTWOOD
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State | NJ
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Zip | 07675-2241
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Country | US
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Telephone | 201-664-0225
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Fax | 201-664-0561
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Provider Business Mailing Address
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Address Line | 1225 150TH ST
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City | WHITESTONE
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State | NY
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Zip | 11357-1747
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Country | US
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Telephone | 718-767-0202
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Fax | 718-767-7375
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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 | N004493
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | N004493
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | MD001931
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License Number State | NJ
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