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General NPI Number Information
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NPI Number | 1881664571
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Entity Type | Individual
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Provider Name | JOSEPH R DISABATO DPM
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Gender | Male
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 103 S PANTOPS DR SUITE 201
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-8617
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Country | US
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Telephone | 434-977-8040
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Fax | 434-977-8083
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Provider Business Mailing Address
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Address Line | 103 S PANTOPS DR SUITE 201
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-8617
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Country | US
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Telephone | 434-977-8040
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Fax | 434-977-8083
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 0103000933
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License Number State | VA
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