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General NPI Number Information
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NPI Number | 1780828228
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Entity Type | Organization
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Legal Business Name | CAMDEN COUNTY FOOT & ANKLE ASSOCIATES LLC
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Dates
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Enumeration Date | 04/28/2009
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Last Update Date | 02/01/2012
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Provider Practice Location Address
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Address Line | 17 WHITE HORSE PIKE SUITE 10A
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City | HADDON HEIGHTS
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State | NJ
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Zip | 08035-1299
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Country | US
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Telephone | 856-546-8989
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Fax | 856-546-8905
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Provider Business Mailing Address
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Address Line | 17 WHITE HORSE PIKE SUITE 10A
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City | HADDON HEIGHTS
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State | NJ
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Zip | 08035-1299
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Country | US
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Telephone | 856-546-8989
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Fax | 856-546-8905
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Authorized Official
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Title or Position | OWNER/PODIATRIST
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Name | DR. JENNIFER M BERLIN
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Credential | D.P.M.
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Telephone | 856-858-3939
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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 | 25MD00145500
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License Number State | NJ
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