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General NPI Number Information
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NPI Number | 1558566554
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Entity Type | Organization
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Legal Business Name | HOPEWELL FOOT AND ANKLE CENTER, LLC
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 12/01/2008
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Provider Practice Location Address
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Address Line | 21A E BROAD ST
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City | HOPEWELL
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State | NJ
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Zip | 08525-1830
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Country | US
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Telephone | 609-333-8637
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Fax | 609-333-0093
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Provider Business Mailing Address
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Address Line | 21A E BROAD ST
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City | HOPEWELL
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State | NJ
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Zip | 08525-1830
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Country | US
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Telephone | 609-333-8637
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Fax | 609-333-0093
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Authorized Official
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Title or Position | PODIATRIST OWNER
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Name | DR. DAVID MICHAEL KRAUSSE
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Credential | DPM
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Telephone | 609-333-8637
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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 | MD002621
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License Number State | NJ
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