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General NPI Number Information
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NPI Number | 1003014291
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Entity Type | Organization
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Legal Business Name | A STEP AHEAD FOOT CARE, S.C.
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 09/07/2018
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Provider Practice Location Address
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Address Line | 20700 WATERTOWN RD STE 200
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City | WAUKESHA
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State | WI
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Zip | 53186-1800
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Country | US
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Telephone | 262-544-0700
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Fax | 262-544-9017
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Provider Business Mailing Address
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Address Line | 20700 WATERTOWN RD STE 200
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City | WAUKESHA
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State | WI
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Zip | 53186-1800
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Country | US
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Telephone | 262-544-0700
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Fax | 262-544-9017
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Authorized Official
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Title or Position | PODIATRIST- VICE-PRESIDENT OF CORP.
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Name | DR. AMY L. MILLER-GUHL
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Credential | DPM
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Telephone | 262-544-0700
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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 | 850-025
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License Number State | WI
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