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General NPI Number Information
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NPI Number | 1841507902
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Entity Type | Organization
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Legal Business Name | JANIS R. D'ANGELO, PODIATRIST, P.C.
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Dates
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Enumeration Date | 09/09/2010
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Last Update Date | 05/09/2014
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Provider Practice Location Address
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Address Line | 1368 CLOVE RD
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City | STATEN ISLAND
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State | NY
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Zip | 10301-4303
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Country | US
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Telephone | 718-816-0237
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Fax | 718-816-5465
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Provider Business Mailing Address
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Address Line | 1368 CLOVE RD
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City | STATEN ISLAND
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State | NY
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Zip | 10301-4303
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Country | US
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Telephone | 718-816-0237
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Fax | 718-816-5465
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JANIS R D'ANGELO
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Credential | DPM
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Telephone | 718-816-0237
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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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