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General NPI Number Information
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NPI Number | 1508905787
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Entity Type | Individual
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Provider Name | MARY ANN CARDILE D.P.M.
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Gender | Female
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 01/10/2013
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Provider Practice Location Address
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Address Line | 288 LEXINGTON AVE
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City | NEW YORK
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State | NY
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Zip | 10016-3565
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Country | US
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Telephone | 212-532-2206
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Fax | 212-213-3619
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Provider Business Mailing Address
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Address Line | 288 LEXINGTON AVE
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City | NEW YORK
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State | NY
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Zip | 10016-3565
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Country | US
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Telephone | 212-532-2206
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Fax | 212-213-3619
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | NOO4369
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License Number State | NY
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