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General NPI Number Information
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NPI Number | 1699716134
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Entity Type | Organization
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Legal Business Name | PODIATRY- FOOT AND ANKLE SURGERY ASSOCIATES,P.C.
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 04/28/2014
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Provider Practice Location Address
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Address Line | 151 EAST PALISADE AV. APT C12
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-2255
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Country | US
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Telephone | 201-503-0399
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Fax | 201-503-0399
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Provider Business Mailing Address
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Address Line | 151 E PALISADE AVE APT C12
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-2248
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Country | US
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Telephone | 845-426-6667
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Fax | 201-503-0399
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID N. MEHLER
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Credential | D.P.M.
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Telephone | 845-426-6667
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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 |
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License Number State |
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