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General NPI Number Information
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NPI Number | 1740315308
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Entity Type | Organization
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Legal Business Name | PREFERRED FAMILY FOOTCARE, LLP
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 07/17/2012
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Provider Practice Location Address
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Address Line | 14149 73RD AVE
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City | FLUSHING
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State | NY
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Zip | 11367-2340
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Country | US
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Telephone | 718-544-7575
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Fax | 718-544-7132
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Provider Business Mailing Address
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Address Line | 14149 73RD AVE
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City | FLUSHING
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State | NY
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Zip | 11367-2340
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Country | US
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Telephone | 718-544-7575
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Fax | 718-544-7132
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Authorized Official
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Title or Position | PARTNER
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Name | DR. JONATHAN MICHAEL KLEIN
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Credential | DPM
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Telephone | 718-544-7575
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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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