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Individual
DR. EDWIN STEVEN DAMON
Active
Individual
DR. EDWIN STEVEN DAMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000035
CT
213E00000X
Podiatrist
1422
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0313211
—
MA
01
—
1019700001
NSC
CT
05
—
4006102
—
CT
Enumeration date
08/16/2006
Last updated
11/27/2007
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