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General NPI Number Information
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NPI Number | 1457539835
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Entity Type | Organization
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Legal Business Name | AUGUSTINE CHARLES MORANO
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 02/07/2008
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Provider Practice Location Address
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Address Line | 407 W GERMANTOWN PIKE
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City | NORRISTOWN
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State | PA
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Zip | 19403-4229
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Country | US
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Telephone | 610-272-1332
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Fax |
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Provider Business Mailing Address
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Address Line | 407 W GERMANTOWN PIKE
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City | NORRISTOWN
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State | PA
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Zip | 19403-4229
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Country | US
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Telephone | 610-272-1332
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AUGUSTINE CHARLES MORANO
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Credential | DPM
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Telephone | 610-272-1332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | SC001321L
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License Number State | PA
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