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General NPI Number Information
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NPI Number | 1740243922
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Entity Type | Organization
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Legal Business Name | A FOOT ABOVE PODIATRY, INC.
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 11/13/2013
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Provider Practice Location Address
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Address Line | 1120 TOWNSHIP LINE RD SUITE 300
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City | HAVERTOWN
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State | PA
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Zip | 19083-3431
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Country | US
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Telephone | 610-446-1392
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Fax | 610-449-2933
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Provider Business Mailing Address
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Address Line | 1120 TOWNSHIP LINE RD SUITE 300
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City | HAVERTOWN
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State | PA
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Zip | 19083-3431
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Country | US
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Telephone | 610-446-1392
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Fax | 610-449-2933
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN A. MONACO
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Credential | DPM
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Telephone | 610-446-1392
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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 |
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License Number State |
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