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General NPI Number Information
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NPI Number | 1891972808
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Entity Type | Organization
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Legal Business Name | SPERO E DEMOLEAS
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Dates
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Enumeration Date | 01/22/2008
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Last Update Date | 01/22/2008
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Provider Practice Location Address
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Address Line | 631 SAW MILL RIVER RD STE 1S
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City | ARDSLEY
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State | NY
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Zip | 10502-2146
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Country | US
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Telephone | 914-693-8479
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Fax | 914-693-8678
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Provider Business Mailing Address
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Address Line | 631 SAW MILL RIVER RD STE 1S
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City | ARDSLEY
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State | NY
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Zip | 10502-2146
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Country | US
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Telephone | 914-693-8479
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Fax | 914-693-8678
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Authorized Official
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Title or Position | OWNER
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Name | SPERO E DEMOLEAS
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Credential | D.P.M.
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Telephone | 914-693-8479
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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 | N0043801
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License Number State | NY
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