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General NPI Number Information
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NPI Number | 1861532483
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Entity Type | Organization
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Legal Business Name | DR. MARK TIRONE, DPM, LLC
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 04/24/2008
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Provider Practice Location Address
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Address Line | 275 HADDON AVE
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City | COLLINGSWOOD
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State | NJ
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Zip | 08108-1121
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Country | US
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Telephone | 856-858-9595
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Fax |
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Provider Business Mailing Address
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Address Line | 275 HADDON AVE
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City | COLLINGSWOOD
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State | NJ
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Zip | 08108-1121
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Country | US
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Telephone |
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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. MARK TIRONE
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Credential | DPM
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Telephone | 856-858-9595
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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 | MD001864
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License Number State | NJ
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