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General NPI Number Information
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NPI Number | 1669474995
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Entity Type | Individual
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Provider Name | LESTER NEIL DENNIS D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 10/29/2007
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Provider Practice Location Address
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Address Line | 102 NORMAN AVE
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City | BROOKLYN
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State | NY
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Zip | 11222-2934
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Country | US
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Telephone | 718-389-4404
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Fax | 718-389-5317
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Provider Business Mailing Address
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Address Line | 218 BEACH AVE
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City | MAMARONECK
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State | NY
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Zip | 10543-2703
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Country | US
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Telephone | 914-381-4321
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Fax |
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | N002375
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License Number State | NY
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