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General NPI Number Information
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NPI Number | 1518611797
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Entity Type | Organization
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Legal Business Name | WEST MORRIS FOOT AND ANKLE
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Dates
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Enumeration Date | 02/07/2022
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Last Update Date | 02/07/2022
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Provider Practice Location Address
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Address Line | 151 ROUTE 10 E
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City | SUCCASUNNA
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State | NJ
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Zip | 07876-1452
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Country | US
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Telephone | 973-224-9433
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Fax |
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Provider Business Mailing Address
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Address Line | 17 BONNELL LN
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City | RANDOLPH
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State | NJ
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Zip | 07869-4841
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Country | US
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Telephone | 973-224-9433
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ERATO GIOKAS
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Credential | DPM
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Telephone | 973-224-9433
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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 |
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License Number State |
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