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General NPI Number Information
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NPI Number | 1477591329
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Entity Type | Individual
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Provider Name | KRISTA AMMIRATI ARCHER DPM
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Gender | Female
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 04/23/2014
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Provider Practice Location Address
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Address Line | 61 E 66TH ST GROUND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10065-6114
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Country | US
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Telephone | 646-912-4456
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Fax | 212-452-0226
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Provider Business Mailing Address
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Address Line | 70 WASHINGTON ST 12L
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City | BROOKLYN
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State | NY
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Zip | 11201-1442
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Country | US
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Telephone | 646-436-3746
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 25MD00282900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | N006080
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License Number State | NY
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