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General NPI Number Information
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NPI Number | 1427155993
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Entity Type | Organization
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Legal Business Name | HEALTHDRIVE PODIATRY GROUP, PC
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Dates
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Enumeration Date | 09/19/2006
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Last Update Date | 04/29/2019
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Provider Practice Location Address
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Address Line | 888 WORCESTER ST SUITE 130
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City | WELLESLEY
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State | MA
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Zip | 02482-3744
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Country | US
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Telephone | 617-964-6681
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Fax | 339-686-2561
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Provider Business Mailing Address
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Address Line | 888 WORCESTER ST SUITE 130
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City | WELLESLEY
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State | MA
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Zip | 02482-3744
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Country | US
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Telephone | 617-964-6681
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Fax | 339-686-2561
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Authorized Official
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Title or Position | PRESIDENT/PRACTICE DIRECTOR
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Name | DR. RIYA ALTOMONTE
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Credential | DPM
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Telephone | 857-255-0486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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