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General NPI Number Information
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NPI Number | 1427862275
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Entity Type | Organization
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Legal Business Name | ARK FOOT GROUP LLC
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 385 5TH AVE RM 1410
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City | NEW YORK
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State | NY
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Zip | 10016-3338
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Country | US
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Telephone | 212-284-6868
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Fax | 347-808-2340
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Provider Business Mailing Address
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Address Line | 385 5TH AVE RM 1410
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City | NEW YORK
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State | NY
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Zip | 10016-3338
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Country | US
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Telephone | 212-284-6868
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Fax | 347-808-2340
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DEXTER MORGAN
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Credential |
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Telephone | 212-284-6868
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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 |
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License Number State |
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