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General NPI Number Information
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NPI Number | 1598070658
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Entity Type | Organization
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Legal Business Name | NORTH PENN PODIATRY LLC
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Dates
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Enumeration Date | 08/13/2010
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Last Update Date | 02/22/2023
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Provider Practice Location Address
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Address Line | 914 N BROAD ST
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City | LANSDALE
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State | PA
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Zip | 19446-2328
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Country | US
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Telephone | 215-855-8122
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Fax | 215-855-7908
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Provider Business Mailing Address
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Address Line | 914 N BROAD ST
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City | LANSDALE
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State | PA
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Zip | 19446-2328
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Country | US
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Telephone | 215-855-8122
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Fax | 215-855-7908
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Authorized Official
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Title or Position | OWNER
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Name | DARIEN KOKALARI
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Credential | DPM
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Telephone | 610-337-3322
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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 | SC001515L
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License Number State | PA
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