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General NPI Number Information
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NPI Number | 1730676826
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Entity Type | Individual
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Provider Name | ALINA KOGAN DPM
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Gender | Female
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Dates
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Enumeration Date | 04/16/2018
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 8 SCHOOL ST
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City | BETHEL
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State | CT
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Zip | 06801-1877
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Country | US
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Telephone | 203-743-7083
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 825159
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City | PHILADELPHIA
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State | PA
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Zip | 19182-5159
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Country | US
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Telephone | 866-626-1540
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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 | N007189-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 1192
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 25MD00363300
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License Number State | NJ
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