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General NPI Number Information
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NPI Number | 1659401446
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Entity Type | Organization
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Legal Business Name | FULTON PODIATRY OBS. PC
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 72 FULTON AVE
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City | HEMPSTEAD
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State | NY
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Zip | 11550-3651
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Country | US
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Telephone | 516-485-7722
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Fax | 516-485-2173
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Provider Business Mailing Address
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Address Line | 72 FULTON AVE
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City | HEMPSTEAD
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State | NY
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Zip | 11550-3651
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Country | US
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Telephone | 516-485-7722
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Fax | 516-485-2173
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Authorized Official
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Title or Position | DOCTOR OF PODIATRY
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Name | DR. DAVID Z SHECHTER
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Credential | DPM
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Telephone | 516-485-7722
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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 | NY
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