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NPI 1699708107

NPI 1699708107 : JANET M FAGHIHI D.P.M. : HASTINGS ON HUDSON, NY

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General NPI Number Information
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    NPI Number           |    1699708107
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    Entity Type          |    Individual 
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    Provider Name        |    JANET M FAGHIHI D.P.M.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/08/2006
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    Last Update Date     |    05/24/2011
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Provider Practice Location Address
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    Address Line         |    55 MAIN ST 
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    City                 |    HASTINGS ON HUDSON
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    State                |    NY
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    Zip                  |    10706-1601
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    Country              |    US
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    Telephone            |    914-478-8120
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    Fax                  |    914-478-1818
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Provider Business Mailing Address
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    Address Line         |    55 MAIN ST 
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    City                 |    HASTINGS ON HUDSON
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    State                |    NY
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    Zip                  |    10706-1601
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    Country              |    US
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    Telephone            |    914-478-8120
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    Fax                  |    914-478-1818
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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        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    N005396
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    License Number State |    NY
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