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General NPI Number Information
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NPI Number | 1447571542
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Entity Type | Organization
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Legal Business Name | FOOT IN THE DOOR PODIATRY LLC
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Dates
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Enumeration Date | 06/13/2010
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Last Update Date | 06/13/2010
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Provider Practice Location Address
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Address Line | 31 SPOOK HILL RD
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City | WAPPINGERS FALLS
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State | NY
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Zip | 12590-4218
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Country | US
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Telephone | 845-489-2911
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Fax |
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Provider Business Mailing Address
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Address Line | 31 SPOOK HILL RD
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City | WAPPINGERS FALLS
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State | NY
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Zip | 12590-4218
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Country | US
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Telephone | 845-489-2911
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Fax |
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. SHARON LEAH WEIBMAN
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Credential | DPM
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Telephone | 845-489-2911
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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 | N006351-1
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License Number State | NY
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