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General NPI Number Information
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NPI Number | 1780652644
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Entity Type | Individual
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Provider Name | KENNETH G INDAHL DPM
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Gender | Male
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 01/30/2012
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Provider Practice Location Address
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Address Line | 2399 HIGHWAY 34 SUITE A-6
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City | MANASQUAN
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State | NJ
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Zip | 08736-1500
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Country | US
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Telephone | 732-528-8223
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Fax | 732-528-7057
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Provider Business Mailing Address
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Address Line | 2399 HIGHWAY 34 SUITE A-6
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City | MANASQUAN
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State | NJ
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Zip | 08736-1500
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Country | US
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Telephone | 732-528-8223
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Fax | 732-528-7057
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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 | 25MD00100900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 25MD00100900
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License Number State | NJ
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