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General NPI Number Information
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NPI Number | 1508744335
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Entity Type | Organization
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Legal Business Name | FAULER PODIATRY
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 2 NEW HAMPSHIRE AVE BSMT SUITE
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City | TROY
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State | NY
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Zip | 12180-1764
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Country | US
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Telephone | 518-272-8637
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Fax | 518-274-2879
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Provider Business Mailing Address
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Address Line | 2 NEW HAMPSHIRE AVE BSMT SUITE
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City | TROY
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State | NY
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Zip | 12180-1764
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Country | US
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Telephone | 518-272-8637
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Fax | 518-274-2879
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BRENDA ROBERTS-BOYD
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Credential |
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Telephone | 518-272-8637
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number |
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License Number State |
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