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General NPI Number Information
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NPI Number | 1558530055
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Entity Type | Organization
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Legal Business Name | ARMAND R. GASBARRO, DPM
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 02/03/2010
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Provider Practice Location Address
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Address Line | 3350 RIDGE RD
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City | LANSING
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State | IL
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Zip | 60438-3112
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Country | US
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Telephone | 708-474-1040
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Fax | 708-474-1044
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Provider Business Mailing Address
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Address Line | 3350 RIDGE RD
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City | LANSING
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State | IL
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Zip | 60438-3112
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Country | US
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Telephone | 708-474-1040
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Fax | 708-474-1044
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. KAREN LYNN ANDERSON
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Credential |
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Telephone | 708-474-1040
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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 | 016-002351
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License Number State | IL
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