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General NPI Number Information
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NPI Number | 1548452568
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Entity Type | Organization
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Legal Business Name | EAST COAST FOOT CARE, INC.
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 01/22/2008
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Provider Practice Location Address
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Address Line | 47 JOSEPH ST
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City | MANALAPAN
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State | NJ
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Zip | 07726-8332
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Country | US
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Telephone | 708-205-2346
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Fax | 708-221-6665
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Provider Business Mailing Address
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Address Line | 47 JOSEPH ST
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City | MANALAPAN
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State | NJ
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Zip | 07726-8332
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Country | US
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Telephone | 708-205-2346
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Fax | 732-677-2881
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Authorized Official
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Title or Position | MANAGER
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Name | MR. LEONARD ZEMLINSKY
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Credential |
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Telephone | 708-205-2346
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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 | 25MD00287100
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License Number State | NJ
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