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General NPI Number Information
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NPI Number | 1588816953
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Entity Type | Organization
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Legal Business Name | 44 FOOTCARE, P.C.
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Dates
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Enumeration Date | 10/16/2008
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Last Update Date | 10/16/2008
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Provider Practice Location Address
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Address Line | 15 W 44TH ST 8TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10036-6611
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Country | US
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Telephone | 212-391-1279
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Fax | 212-391-1209
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Provider Business Mailing Address
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Address Line | 15 W 44TH ST 8TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10036-6611
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Country | US
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Telephone | 212-391-1279
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Fax | 212-391-1209
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. LARRY IRWIN COHEN
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Credential | DPM
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Telephone | 212-391-1279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | NOO4373-1
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License Number State | NY
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