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General NPI Number Information
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NPI Number | 1982755187
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Entity Type | Organization
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Legal Business Name | SOUND FOOT CARE PC
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 07/25/2022
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Provider Practice Location Address
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Address Line | 49 SPRUCE ST
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City | SMITHTOWN
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State | NY
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Zip | 11787-1028
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Country | US
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Telephone | 631-360-3344
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Fax | 631-724-8344
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Provider Business Mailing Address
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Address Line | 49 SPRUCE ST
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City | SMITHTOWN
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State | NY
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Zip | 11787-1028
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Country | US
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Telephone | 631-360-3344
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Fax | 631-724-8344
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. RONALD A WASHINGTON
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Credential | D.P.M.
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Telephone | 631-360-3344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | N003650-1
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License Number State | NY
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