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General NPI Number Information
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NPI Number | 1760490759
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Entity Type | Individual
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Provider Name | MARK DAVID ANTENUCCI D.P.M
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Gender | Male
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 06/24/2009
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Provider Practice Location Address
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Address Line | 313 WEST COUNTRY CLUB RD. STE. 7
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City | ROSWELL
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State | NM
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Zip | 88201
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Country | US
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Telephone | 575-624-2398
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Fax | 575-624-0655
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Provider Business Mailing Address
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Address Line | 313 WEST COUNTRY CLUB RD. STE. 7
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City | ROSWELL
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State | NM
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Zip | 88201
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Country | US
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Telephone | 575-624-2398
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Fax | 575-624-0655
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 184
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License Number State | NM
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