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NPI 1821409632

NPI 1821409632 : ALAN C STUTO DPM : ALLENTOWN, PA

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General NPI Number Information
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    NPI Number           |    1821409632
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    Entity Type          |    Individual 
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    Provider Name        |    ALAN C STUTO DPM
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/14/2014
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    Last Update Date     |    08/20/2024
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Provider Practice Location Address
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    Address Line         |    1250 S CEDAR CREST BLVD STE 110 
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    City                 |    ALLENTOWN
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    State                |    PA
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    Zip                  |    18103
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    Country              |    US
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    Telephone            |    610-402-8900
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    Fax                  |    610-402-5656
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Provider Business Mailing Address
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    Address Line         |    PO BOX 783311 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19178-3311
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    Country              |    US
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    Telephone            |    484-884-4500
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    Fax                  |    484-884-0699
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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       |    SC006938
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    207XX0004X
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    Taxonomy Name        |    Orthopaedic Foot and Ankle Surgery Physician
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    License Number       |    SC006938
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    License Number State |    PA
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Taxonomy #3
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    Taxonomy Code        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    SC006938
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    License Number State |    PA
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