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General NPI Number Information
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NPI Number | 1669649281
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Entity Type | Organization
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Legal Business Name | EPSTEIN TAVROFF LEON DPMS LLP
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Dates
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Enumeration Date | 05/13/2008
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Last Update Date | 09/08/2009
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Provider Practice Location Address
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Address Line | 801 WALT WHITMAN RD
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City | MELVILLE
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State | NY
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Zip | 11747-2208
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Country | US
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Telephone | 631-549-8637
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Fax | 631-549-8860
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Provider Business Mailing Address
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Address Line | 801 WALT WHITMAN RD
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City | MELVILLE
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State | NY
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Zip | 11747-2208
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Country | US
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Telephone | 631-549-8637
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Fax | 631-549-8860
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Authorized Official
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Title or Position | PARTNER
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Name | DR. GEOFFREY C EPSTEIN
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Credential | DPM
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Telephone | 631-549-8637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 005121
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License Number State | NY
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