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General NPI Number Information
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NPI Number | 1629266960
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Entity Type | Organization
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Legal Business Name | ADVANCED WESTCHESTER PODIATRY LLP
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 12/17/2008
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Provider Practice Location Address
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Address Line | 1990 E MAIN ST
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City | MOHEGAN LAKE
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State | NY
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Zip | 10547-1231
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Country | US
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Telephone | 914-743-1066
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Fax | 914-743-1067
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Provider Business Mailing Address
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Address Line | 1990 E MAIN ST
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City | MOHEGAN LAKE
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State | NY
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Zip | 10547-1231
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Country | US
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Telephone | 914-743-1066
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Fax | 914-743-1067
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DENNIS S NACHMANN
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Credential | DPM
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Telephone | 914-743-1066
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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 |
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License Number State |
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