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General NPI Number Information
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NPI Number | 1407067523
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Entity Type | Organization
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Legal Business Name | METROPLITAN PODIATRY ASSOCIATE
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2371 ARTHUR AVE
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City | BRONX
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State | NY
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Zip | 10458-8113
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Country | US
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Telephone | 718-364-6199
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Fax | 718-364-6199
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Provider Business Mailing Address
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Address Line | 2371 ARTHUR AVE
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City | BRONX
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State | NY
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Zip | 10458-8113
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Country | US
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Telephone | 718-364-6199
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Fax | 718-364-6199
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Authorized Official
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Title or Position | PODITARY
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Name | FRANK BAYERBACH
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Credential | DPM
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Telephone | 718-364-6199
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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 | N004204
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | N003928
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License Number State | NY
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