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General NPI Number Information
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NPI Number | 1982481792
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Entity Type | Organization
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Legal Business Name | CAREFREEWALK LLC
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Dates
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Enumeration Date | 09/13/2023
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 8811 169TH ST
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City | JAMAICA
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State | NY
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Zip | 11432-4430
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Country | US
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Telephone | 929-822-6210
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Fax |
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Provider Business Mailing Address
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Address Line | 14406 88TH AVE APT A2
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City | JAMAICA
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State | NY
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Zip | 11435-3405
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Country | US
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Telephone | 929-400-1180
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. YAHAYA ABDULLAHI NAUZO
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Credential | DPM
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Telephone | 929-400-1180
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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 |
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