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General NPI Number Information
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NPI Number | 1962633750
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Entity Type | Organization
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Legal Business Name | SPECIAL TOUCH FOOT CARE LLP
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Dates
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Enumeration Date | 07/28/2009
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Last Update Date | 07/28/2009
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Provider Practice Location Address
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Address Line | 8339 DANIELS ST
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City | BRIARWOOD
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State | NY
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Zip | 11435-1208
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Country | US
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Telephone | 347-247-0206
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Fax |
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Provider Business Mailing Address
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Address Line | 17709 TROUTVILLE RD
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City | JAMAICA
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State | NY
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Zip | 11434-2711
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Country | US
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Telephone | 718-470-2879
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Fax | 718-470-2879
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. ADEJOKE A BABALOLA
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Credential | D.P.M
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Telephone | 347-247-0206
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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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