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General NPI Number Information
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NPI Number | 1659542769
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Entity Type | Organization
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Legal Business Name | FAMILY FOOT CARE
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Dates
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Enumeration Date | 03/17/2008
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Last Update Date | 07/08/2008
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Provider Practice Location Address
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Address Line | 1315 CENTRAL AVE
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City | ALBANY
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State | NY
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Zip | 12205-5272
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Country | US
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Telephone | 518-689-5390
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Fax | 518-689-5396
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Provider Business Mailing Address
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Address Line | 1315 CENTRAL AVE
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City | ALBANY
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State | NY
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Zip | 12205-5272
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Country | US
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Telephone | 518-689-5390
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Fax | 518-689-5396
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Authorized Official
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Title or Position | PARTNER
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Name | MR. DAVID PICCHIONE
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Credential | DPM
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Telephone | 518-758-1331
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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 | N004801
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License Number State | NY
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