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General NPI Number Information
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NPI Number | 1962789933
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Entity Type | Organization
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Legal Business Name | JOSH C EHRLICH DPM PC
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Dates
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Enumeration Date | 11/04/2011
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Last Update Date | 11/04/2011
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Provider Practice Location Address
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Address Line | 1535 51ST ST
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City | BROOKLYN
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State | NY
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Zip | 11219-3738
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Country | US
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Telephone | 718-436-8886
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Fax | 718-436-1267
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Provider Business Mailing Address
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Address Line | 260 LINWOOD AVE
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City | CEDARHURST
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State | NY
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Zip | 11516-1720
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Country | US
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Telephone | 516-295-4898
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Fax | 718-336-5375
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSH EHRLICH
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Credential | DPM
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Telephone | 516-295-4898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 004077
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License Number State | NY
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