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General NPI Number Information
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NPI Number | 1861949257
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Entity Type | Organization
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Legal Business Name | CARUSO FOOT AND ANKLE, LLC
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Dates
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Enumeration Date | 09/02/2016
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Last Update Date | 05/05/2017
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Provider Practice Location Address
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Address Line | 38 THOREAU DR
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City | FREEHOLD
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State | NJ
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Zip | 07728-4329
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Country | US
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Telephone | 732-366-9866
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Fax |
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Provider Business Mailing Address
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Address Line | 38 THOREAU DR
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City | FREEHOLD
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State | NJ
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Zip | 07728-4329
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Country | US
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Telephone | 732-366-9866
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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. ROSE A CARUSO
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Credential | DPM
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Telephone | 732-366-9866
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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 | 25MD00296200
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License Number State | NJ
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