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General NPI Number Information
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NPI Number | 1891972089
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Entity Type | Organization
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Legal Business Name | MICHAEL L WODKA D.P.M. PC
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Dates
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Enumeration Date | 01/30/2008
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Last Update Date | 01/30/2008
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Provider Practice Location Address
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Address Line | 30 INDUSTRIAL DR
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City | MIDDLETOWN
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State | NY
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Zip | 10941-1662
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Country | US
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Telephone | 845-692-3338
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Fax |
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Provider Business Mailing Address
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Address Line | 30 INDUSTRIAL DR
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City | MIDDLETOWN
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State | NY
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Zip | 10941-1662
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Country | US
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Telephone | 845-692-3338
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL L WODKA
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Credential | D.P.M.
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Telephone | 845-692-3338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | N003161-1
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License Number State | NY
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