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General NPI Number Information
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NPI Number | 1972727998
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Entity Type | Organization
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Legal Business Name | ANKLE & FOOT SPECIALISTS OF HOBOKEN, LLC
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 11/25/2009
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Provider Practice Location Address
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Address Line | 59 14TH ST
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City | HOBOKEN
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State | NJ
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Zip | 07030-5554
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Country | US
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Telephone | 201-222-5200
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Fax | 201-792-2773
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Provider Business Mailing Address
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Address Line | 59 14TH ST
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City | HOBOKEN
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State | NJ
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Zip | 07030-5554
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Country | US
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Telephone | 201-222-5200
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Fax | 201-792-2773
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ALLISON GUYEN
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Credential | D.P.M.
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Telephone | 201-222-5200
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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 | MD002580
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | MD001947
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License Number State | NJ
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