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General NPI Number Information
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NPI Number | 1740456169
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Entity Type | Individual
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Provider Name | CORRINE RENNE DPM
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Gender | Female
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Dates
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Enumeration Date | 05/06/2008
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Last Update Date | 08/13/2018
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Provider Practice Location Address
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Address Line | 397 FRANKLIN AVE
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City | FRANKLIN SQUARE
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State | NY
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Zip | 11010
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Country | US
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Telephone | 516-233-1919
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Fax | 516-977-5137
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Provider Business Mailing Address
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Address Line | 397 FRANKLIN AVE
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City | FRANKLIN SQUARE
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State | NY
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Zip | 11010-1227
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Country | US
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Telephone | 516-233-1919
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Fax | 516-977-5137
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | N006262
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License Number State | NY
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