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General NPI Number Information
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NPI Number | 1437211323
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Entity Type | Organization
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Legal Business Name | BLOOMINGDALE PODIATRY CENTER, PA
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 12/12/2008
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Provider Practice Location Address
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Address Line | 9 CAREY AVE SUITE 300
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City | BUTLER
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State | NJ
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Zip | 07405-1407
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Country | US
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Telephone | 973-838-8885
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Fax | 973-283-1875
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Provider Business Mailing Address
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Address Line | PO BOX 15
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City | BLOOMINGDALE
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State | NJ
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Zip | 07403-0015
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Country | US
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Telephone | 973-838-8885
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Fax | 973-283-1875
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL MICHAEL PALMAROZZO
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Credential | D.P.M.
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Telephone | 973-838-8885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 25MD00175800
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License Number State | NJ
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