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General NPI Number Information
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NPI Number | 1649395237
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Entity Type | Individual
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Provider Name | ERIC STEVEN MENDELSOHN DPM
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Gender | Male
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 26106 GREENFIELD RD STE A
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City | OAK PARK
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State | MI
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Zip | 48237-1063
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Country | US
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Telephone | 248-569-1395
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Fax | 248-569-1330
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Provider Business Mailing Address
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Address Line | 26106 GREENFIELD RD STE A
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City | OAK PARK
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State | MI
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Zip | 48237-1063
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Country | US
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Telephone | 248-569-1395
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Fax | 248-569-1330
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | EM000833
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | EM000833
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License Number State | MI
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