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General NPI Number Information
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NPI Number | 1851126361
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Entity Type | Organization
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Legal Business Name | PODIATRY ON CALL PLLC
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Dates
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Enumeration Date | 09/04/2024
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 3709 FLATLANDS AVE
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City | BROOKLYN
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State | NY
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Zip | 11234-3507
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Country | US
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Telephone | 718-957-3435
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Fax |
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Provider Business Mailing Address
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Address Line | 3709 FLATLANDS AVE
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City | BROOKLYN
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State | NY
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Zip | 11234-3507
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Country | US
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Telephone | 718-444-7766
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PRAVIN RAJAKUMAR
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Credential | DPM
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Telephone | 646-331-0162
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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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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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