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General NPI Number Information
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NPI Number | 1629275987
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Entity Type | Organization
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Legal Business Name | ANTHONY ALESSI DPM PC
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 02/12/2008
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Provider Practice Location Address
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Address Line | 1414 KILBORN DR
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City | PETOSKEY
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State | MI
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Zip | 49770-9258
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Country | US
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Telephone | 231-347-5111
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Fax | 234-347-5115
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Provider Business Mailing Address
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Address Line | 1414 KILBORN DR
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City | PETOSKEY
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State | MI
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Zip | 49770-9258
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Country | US
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Telephone | 231-347-5111
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Fax | 234-347-5115
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANTHONY ALESSI
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Credential | DPM
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Telephone | 231-347-5111
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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 | 5901001433
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License Number State | MI
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