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General NPI Number Information
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NPI Number | 1811974140
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Entity Type | Individual
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Provider Name | MARC R SARNOW DPM
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Gender | Male
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Dates
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Enumeration Date | 12/28/2005
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 79 HAMMOND LN STE 9
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City | PLATTSBURGH
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State | NY
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Zip | 12901-2008
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Country | US
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Telephone | 518-563-0570
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Fax | 518-324-5406
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Provider Business Mailing Address
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Address Line | 79 HAMMOND LN STE 9
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City | PLATTSBURGH
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State | NY
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Zip | 12901-2008
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Country | US
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Telephone | 518-563-0570
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Fax | 518-324-5406
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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 | 0560000158
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N0046801
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License Number State | NY
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