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General NPI Number Information
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NPI Number | 1891727343
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Entity Type | Organization
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Legal Business Name | ALI ALBERT ANAIM DPM PC
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 12/18/2007
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Provider Practice Location Address
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Address Line | 139 E LEHIGH AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19125-1011
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Country | US
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Telephone | 215-423-9708
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Fax | 215-423-4173
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Provider Business Mailing Address
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Address Line | PO BOX 95000-1280
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City | PHILADELPHIA
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State | PA
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Zip | 19195-1280
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Country | US
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Telephone | 215-423-9708
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Fax | 215-423-4173
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALI ALBERT ANAIM
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Credential | DPM
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Telephone | 215-423-9708
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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 | SC004335L
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License Number State | PA
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