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General NPI Number Information
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NPI Number | 1841468758
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Entity Type | Organization
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Legal Business Name | DR. EDWARD P EPSTEIN DPM
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 02/19/2008
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Provider Practice Location Address
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Address Line | 84 BOYLSTON ST
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City | BRADFORD
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State | PA
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Zip | 16701-6524
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Country | US
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Telephone | 814-362-4104
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Fax |
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Provider Business Mailing Address
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Address Line | 84 BOYLSTON ST
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City | BRADFORD
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State | PA
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Zip | 16701-6524
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Country | US
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Telephone | 814-362-4104
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. EDWARD P EPSTEIN
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Credential | DPM
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Telephone | 814-362-4104
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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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