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General NPI Number Information
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NPI Number | 1689740417
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Entity Type | Organization
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Legal Business Name | THURBER & THURBER, DPM PC
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 04/24/2013
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Provider Practice Location Address
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Address Line | 668 PARK PL
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City | ELMIRA
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State | NY
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Zip | 14901-2033
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Country | US
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Telephone | 607-734-4582
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Fax | 607-734-4596
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Provider Business Mailing Address
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Address Line | 668 PARK PL
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City | ELMIRA
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State | NY
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Zip | 14901-2033
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Country | US
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Telephone | 607-734-4582
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Fax | 607-734-4596
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. DANIEL S PARK
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Credential | DPM
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Telephone | 607-734-4582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | N003322-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | N005567-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | N006213
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | N003995-1
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License Number State | NY
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