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General NPI Number Information
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NPI Number | 1659370641
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Entity Type | Individual
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Provider Name | LEE EDWARD FIRESTONE D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 1775 K ST NW STE 580
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City | WASHINGTON
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State | DC
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Zip | 20006-1529
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Country | US
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Telephone | 202-223-4616
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Fax | 202-223-0740
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Provider Business Mailing Address
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Address Line | PO BOX 825159
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City | PHILADELPHIA
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State | PA
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Zip | 19182-5159
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Country | US
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Telephone | 202-331-9727
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Fax | 202-887-0741
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 1204
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License Number State | MD
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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 | P0546
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License Number State | DC
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