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General NPI Number Information
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NPI Number | 1770776320
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Entity Type | Organization
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Legal Business Name | ADAM CIRLINCIONE DPM PC
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Dates
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Enumeration Date | 08/27/2007
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 29 GLEN COVE AVE SUITE 102
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City | GLEN COVE
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State | NY
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Zip | 11542-2831
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Country | US
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Telephone | 516-609-3338
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Fax | 516-609-9032
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Provider Business Mailing Address
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Address Line | 29 GLEN COVE AVE SUITE 102
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City | GLEN COVE
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State | NY
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Zip | 11542-2831
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Country | US
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Telephone | 516-609-3338
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Fax | 516-609-9032
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. ADAM SCOTT CIRLINCIONE
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Credential | DPM
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Telephone | 516-609-3338
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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 | N5342
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License Number State | NY
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