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General NPI Number Information
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NPI Number | 1831333665
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Entity Type | Organization
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Legal Business Name | FAMILY FOOT & LEG ASSOCIATES, PC
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Dates
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Enumeration Date | 04/23/2009
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Last Update Date | 05/23/2009
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Provider Practice Location Address
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Address Line | 211 CHANCELLOR DR
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City | DEPTFORD
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State | NJ
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Zip | 08096-5167
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Country | US
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Telephone | 856-845-5554
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Fax | 856-845-5554
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Provider Business Mailing Address
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Address Line | 211 CHANCELLOR DR
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City | DEPTFORD
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State | NJ
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Zip | 08096-5167
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Country | US
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Telephone | 856-845-5554
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Fax | 856-845-5554
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ORLANDO CEDENO JR.
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Credential | D.P.M.
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Telephone | 856-845-5554
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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 | SC005961
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License Number State | PA
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