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General NPI Number Information
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NPI Number | 1801729777
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Entity Type | Organization
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Legal Business Name | SIGNATURE FOOT & ANKLE LLC
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 54 S DEAN ST
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-3514
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Country | US
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Telephone | 201-839-2778
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Fax | 718-777-3180
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Provider Business Mailing Address
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Address Line | PO BOX 1366
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City | PARAMUS
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State | NJ
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Zip | 07653-1366
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Country | US
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Telephone | 201-839-2778
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Fax | 718-777-3180
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GIANNI PERSICH
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Credential | DPM
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Telephone | 201-839-2778
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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 |
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License Number State |
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