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NPI 1801899430

NPI 1801899430 : JAMES PAUL LENTINI DPM : NORWICH, NY

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General NPI Number Information
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    NPI Number           |    1801899430
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES PAUL LENTINI DPM
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/27/2005
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    Last Update Date     |    04/24/2018
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Provider Practice Location Address
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    Address Line         |    15 EATON AVE 
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    City                 |    NORWICH
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    State                |    NY
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    Zip                  |    13815-1768
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    Country              |    US
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    Telephone            |    607-336-9098
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    Fax                  |    607-336-9097
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Provider Business Mailing Address
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    Address Line         |    15 EATON AVE 
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    City                 |    NORWICH
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    State                |    NY
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    Zip                  |    13815-1768
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    Country              |    US
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    Telephone            |    607-336-9098
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    Fax                  |    607-336-9097
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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        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    004944
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    License Number State |    NY
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