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General NPI Number Information
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NPI Number | 1841219003
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Entity Type | Organization
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Legal Business Name | ACADEMY PODIATRY ASSOCIATES, P.C.
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 11/19/2013
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Provider Practice Location Address
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Address Line | 217 E LAUREL RD
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City | STRATFORD
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State | NJ
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Zip | 08084-1301
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Country | US
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Telephone | 856-783-6361
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Fax |
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Provider Business Mailing Address
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Address Line | 217 E LAUREL RD
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City | STRATFORD
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State | NJ
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Zip | 08084-1301
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Country | US
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Telephone | 856-783-6361
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Fax |
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. SCOTT DAVID WARREN
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Credential | D.P.M.
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Telephone | 856-783-6361
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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 |
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License Number State |
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