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General NPI Number Information
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NPI Number | 1528189503
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Entity Type | Organization
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Legal Business Name | PALISADES PODIATRY ASSOCIATES LLP
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 06/16/2009
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Provider Practice Location Address
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Address Line | 11 MEDICAL PARK DRIVE SUITE 206
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City | POMONA
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State | NY
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Zip | 10970
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Country | US
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Telephone | 845-362-0100
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Fax | 845-362-0112
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Provider Business Mailing Address
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Address Line | 11 MEDICAL PARK DRIVE SUITE 206
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City | POMONA
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State | NY
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Zip | 10970
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Country | US
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Telephone | 845-362-0100
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Fax | 845-362-0112
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Authorized Official
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Title or Position | DOCTOR OWNER
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Name | DR. BARRY SCHOENBERG
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Credential | DPM
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Telephone | 845-362-0100
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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 | N002983
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License Number State | NY
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