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General NPI Number Information
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NPI Number | 1427368034
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Entity Type | Organization
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Legal Business Name | HUDSON VALLEY TOTAL PODIATRIC SURGICAL CARE, PC
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Dates
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Enumeration Date | 10/15/2010
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Last Update Date | 10/15/2010
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Provider Practice Location Address
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Address Line | 54 N PLANK RD
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City | NEWBURGH
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State | NY
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Zip | 12550-2116
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Country | US
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Telephone | 718-236-1056
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Fax |
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Provider Business Mailing Address
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Address Line | 54 N PLANK RD
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City | NEWBURGH
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State | NY
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Zip | 12550-2116
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Country | US
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Telephone | 718-236-1056
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | LIZA CHOBRUTSKAYA
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Credential |
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Telephone | 718-236-1056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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