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General NPI Number Information
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NPI Number | 1588691810
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Entity Type | Organization
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Legal Business Name | ASSOCIATED PODIATRIC PHYSICIANS,PA
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 11/27/2007
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Provider Practice Location Address
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Address Line | 1300 S OLDEN AVE
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City | HAMILTON
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State | NJ
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Zip | 08610-2907
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Country | US
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Telephone | 609-586-7111
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Fax | 609-586-7311
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Provider Business Mailing Address
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Address Line | 1300 S OLDEN AVE
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City | HAMILTON
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State | NJ
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Zip | 08610-2907
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Country | US
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Telephone | 609-586-7111
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Fax | 609-586-7311
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DONALD CHRISTOPHER MANGER
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Credential | DPM
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Telephone | 609-586-7111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | MD02061
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License Number State | NJ
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