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General NPI Number Information
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NPI Number | 1902845860
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Entity Type | Organization
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Legal Business Name | DAVID D CARROZZINO DPM, PC
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 07/20/2010
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Provider Practice Location Address
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Address Line | 158 DELAWARE ST
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City | WOODBURY
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State | NJ
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Zip | 08096-5921
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Country | US
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Telephone | 856-845-5515
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Fax | 856-853-6890
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Provider Business Mailing Address
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Address Line | 158 DELAWARE ST
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City | WOODBURY
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State | NJ
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Zip | 08096-5921
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Country | US
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Telephone | 856-845-5515
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Fax | 856-853-6890
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. DAVID DOMINICK CARROZZINO
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Credential | DPM
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Telephone | 856-845-5515
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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 | MDO2048
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License Number State | NJ
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