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General NPI Number Information
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NPI Number | 1447279617
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND COMPREHENSIVE FOOT & ANKLE GROUP, LLC
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 03/04/2011
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Provider Practice Location Address
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Address Line | 2211 MASSACHUSETTS AVE SUITE 1
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City | CAMBRIDGE
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State | MA
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Zip | 02140-1211
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Country | US
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Telephone | 617-821-6329
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Fax | 617-354-3877
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Provider Business Mailing Address
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Address Line | 2211 MASSACHUSETTS AVE SUITE1
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City | CAMBRIDGE
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State | MA
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Zip | 02140-1211
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Country | US
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Telephone | 617-821-6329
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Fax | 617-354-3877
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Authorized Official
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Title or Position | OWNER
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Name | YENA HOANG DO
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Credential | DPM
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Telephone | 305-975-5800
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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 | 2217
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License Number State | MA
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