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General NPI Number Information
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NPI Number | 1861143018
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Entity Type | Organization
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Legal Business Name | FULL FRAME PODIATRIC CARE P.C.
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Dates
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Enumeration Date | 01/10/2022
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 21616 UNION TPKE
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City | FLUSHING
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State | NY
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Zip | 11364-3525
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Country | US
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Telephone | 718-465-4000
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Fax | 718-624-7517
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Provider Business Mailing Address
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Address Line | 21616 UNION TPKE
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City | FLUSHING
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State | NY
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Zip | 11364-3525
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Country | US
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Telephone | 347-685-3196
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Fax | 718-624-7517
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Authorized Official
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Title or Position | OWNER
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Name | CAROL TONG
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Credential | DPM
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Telephone | 347-685-3196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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