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General NPI Number Information
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NPI Number | 1831338409
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Entity Type | Organization
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Legal Business Name | INTERNATIONAL FAMILY FOOTCARE, PC
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Dates
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Enumeration Date | 02/05/2009
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Last Update Date | 02/05/2009
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Provider Practice Location Address
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Address Line | 600 SUFFOLK AVE SUITE B
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City | BRENTWOOD
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State | NY
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Zip | 11717-4311
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Country | US
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Telephone | 631-435-2222
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Fax | 631-435-2270
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Provider Business Mailing Address
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Address Line | 600 SUFFOLK AVE SUITE B
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City | BRENTWOOD
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State | NY
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Zip | 11717-4311
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Country | US
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Telephone | 631-435-2222
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Fax | 631-435-2270
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT A. KLEIN
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Credential | DPM
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Telephone | 631-435-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number | N003574
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License Number State | NY
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