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General NPI Number Information
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NPI Number | 1922317692
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Entity Type | Organization
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Legal Business Name | WACHTEL PODIATRY GROUP, LLC
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Dates
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Enumeration Date | 09/29/2010
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 587 BETHLEHEM PIKE STE 800-900
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City | MONTGOMERYVILLE
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State | PA
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Zip | 18936-9741
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Country | US
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Telephone | 215-368-5319
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Fax | 215-368-0672
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Provider Business Mailing Address
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Address Line | 587 BETHLEHEM PIKE STE 800-900
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City | MONTGOMERYVILLE
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State | PA
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Zip | 18936-9741
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Country | US
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Telephone | 215-368-5319
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Fax | 215-368-0672
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JENNIFER BOROWIEC
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Credential |
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Telephone | 215-368-5319
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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 |
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 213ER0200X
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Taxonomy Name | Radiology Podiatrist
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License Number |
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 213ES0000X
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Taxonomy Name | Sports Medicine Podiatrist
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License Number |
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number |
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License Number State | PA
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Taxonomy #7
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | PA
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Taxonomy #8
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State | PA
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Taxonomy #9
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State | PA
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