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General NPI Number Information
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NPI Number | 1427372440
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Entity Type | Organization
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Legal Business Name | FOOT AND ANKLE SURGERY ASSOCIATES, LLC
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Dates
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Enumeration Date | 03/19/2010
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Last Update Date | 08/14/2014
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Provider Practice Location Address
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Address Line | 11 OVERLOOK RD STE B110
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City | SUMMIT
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State | NJ
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Zip | 07901-3577
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Country | US
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Telephone | 908-273-0056
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Fax | 609-585-5975
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Provider Business Mailing Address
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Address Line | 11 OVERLOOK RD STE B110
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City | SUMMIT
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State | NJ
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Zip | 07901-3577
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Country | US
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Telephone | 908-273-0056
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Fax | 609-585-5975
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Authorized Official
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Title or Position | OWNER
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Name | ERIC ROCKMORE
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Credential | DPM
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Telephone | 908-273-0056
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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 | 25MD00252600
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License Number State | NJ
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