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General NPI Number Information
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NPI Number | 1427280486
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Entity Type | Organization
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Legal Business Name | JOHN F CONNORS DPM & ASSOCIATES, L.L.C
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Dates
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Enumeration Date | 08/10/2009
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Last Update Date | 08/10/2009
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Provider Practice Location Address
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Address Line | 200 WHITE RD SUITE 108
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City | LITTLE SILVER
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State | NJ
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Zip | 07739-1150
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Country | US
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Telephone | 732-741-2300
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Fax | 732-741-0469
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Provider Business Mailing Address
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Address Line | 200 WHITE RD SUITE 108
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City | LITTLE SILVER
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State | NJ
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Zip | 07739-1150
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Country | US
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Telephone | 732-741-2300
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Fax | 732-741-0469
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Authorized Official
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Title or Position | BILLER
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Name | MS. STACY L HERRING
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Credential |
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Telephone | 732-741-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0000X
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Taxonomy Name | Sports Medicine Podiatrist
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License Number | 25MD00180600
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License Number State | NJ
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