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General NPI Number Information
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NPI Number | 1518266022
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Entity Type | Organization
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Legal Business Name | ALEXANDER J MIRAGLIA PODIATRY, PLLC
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Dates
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Enumeration Date | 03/23/2011
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Last Update Date | 08/02/2011
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Provider Practice Location Address
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Address Line | 7512 13TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11228-2410
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Country | US
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Telephone | 718-680-0575
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Fax | 718-680-0590
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Provider Business Mailing Address
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Address Line | 7512 13TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11228-2410
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Country | US
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Telephone | 718-680-0575
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Fax | 718-680-0590
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. ALEXANDER JOSEPH MIRAGLIA
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Credential | DPM
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Telephone | 718-680-0575
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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 |
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License Number State |
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