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General NPI Number Information
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NPI Number | 1740887033
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Entity Type | Organization
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Legal Business Name | FAVOR FOOT AND ANKLE PODIATRY PC
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Dates
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Enumeration Date | 10/08/2020
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 2045 STATE ROUTE 35 STE 200
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City | SOUTH AMBOY
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State | NJ
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Zip | 08879-2069
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Country | US
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Telephone | 929-207-4669
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Fax | 917-791-9755
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Provider Business Mailing Address
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Address Line | 2045 STATE ROUTE 35 STE 200
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City | SOUTH AMBOY
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State | NJ
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Zip | 08879-2069
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Country | US
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Telephone | 929-207-4669
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Fax | 917-791-9755
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Authorized Official
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Title or Position | OWNER
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Name | STEVEN WELLS
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Credential | DPM
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Telephone | 844-777-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #2
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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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