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General NPI Number Information
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NPI Number | 1922642776
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Entity Type | Organization
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Legal Business Name | TRI-STATE FOOT AND ANKLE
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Dates
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Enumeration Date | 11/05/2019
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Last Update Date | 11/05/2019
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Provider Practice Location Address
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Address Line | 2 OVERLOOK DR
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City | WARWICK
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State | NY
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Zip | 10990-1810
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Country | US
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Telephone | 845-343-6050
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Fax |
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Provider Business Mailing Address
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Address Line | 518 ROUTE 6 AND 209
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City | MILFORD
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State | PA
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Zip | 18337-9424
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Country | US
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Telephone | 570-409-0123
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Fax | 855-495-0993
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARC FRANKEL
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Credential | DPM
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Telephone | 973-534-3392
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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 |
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License Number State |
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