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NPI 1982754800

NPI 1982754800 : CRAIG WEXLER, D.P.M. P C : NEWTON, NJ

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General NPI Number Information
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    NPI Number           |    1982754800
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    Entity Type          |    Organization 
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    Legal Business Name  |    CRAIG WEXLER, D.P.M. P C 
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Dates
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    Enumeration Date     |    01/11/2007
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    Last Update Date     |    04/25/2022
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Provider Practice Location Address
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    Address Line         |    125 NEWTON SPARTA RD 
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    City                 |    NEWTON
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    State                |    NJ
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    Zip                  |    07860-2769
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    Country              |    US
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    Telephone            |    973-383-3115
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    Fax                  |    973-383-3201
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Provider Business Mailing Address
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    Address Line         |    125 NEWTON SPARTA RD 
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    City                 |    NEWTON
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    State                |    NJ
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    Zip                  |    07860-2769
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    Country              |    US
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    Telephone            |    973-383-3115
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    Fax                  |    973-383-3201
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. WILLIAM  SLOTTER 
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    Credential           |    DPM
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    Telephone            |    973-383-3115
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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       |    00201600
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    License Number State |    NJ
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