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General NPI Number Information
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NPI Number | 1417259938
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Entity Type | Organization
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Legal Business Name | BARKINGDOGS FOOT AND ANKLE CARE, PC
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Dates
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Enumeration Date | 12/04/2010
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Last Update Date | 04/20/2012
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Provider Practice Location Address
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Address Line | 1000 GERMANTOWN PIKE SUITE C3
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-2480
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Country | US
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Telephone | 484-681-9485
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Fax | 484-681-9487
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Provider Business Mailing Address
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Address Line | 1000 GERMANTOWN PIKE SUITE C3
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-2480
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Country | US
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Telephone | 484-681-9485
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Fax | 484-681-9487
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NICHOLAS JOSEPH PAGANO JR.
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Credential | DPM
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Telephone | 484-681-9485
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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 | SC005966
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License Number State | PA
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