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General NPI Number Information
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NPI Number | 1508834151
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Entity Type | Individual
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Provider Name | JAMES PATRICK SULLIVAN D.P.M
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Gender | Male
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 2130 ROUTE 35 UNIT 312
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City | SEA GIRT
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State | NJ
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Zip | 08750-1010
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Country | US
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Telephone | 732-975-8200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 825159
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City | PHILADELPHIA
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State | PA
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Zip | 19182-5159
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Country | US
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Telephone |
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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 | 25MD00227100
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License Number State | NJ
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