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General NPI Number Information
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NPI Number | 1013961655
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Entity Type | Organization
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Legal Business Name | FOOT & ANKLE SPECIALTY CENTER, P.C.
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 09/13/2010
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Provider Practice Location Address
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Address Line | 2400 MARYLAND ROAD SUITE 30
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City | WILLOW GROVE
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State | PA
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Zip | 19090-1748
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Country | US
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Telephone | 215-659-4400
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Fax | 215-659-5931
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Provider Business Mailing Address
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Address Line | 2400 MARYLAND ROAD SUITE 30
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City | WILLOW GROVE
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State | PA
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Zip | 19090-1748
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Country | US
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Telephone | 215-659-4400
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Fax | 215-659-5931
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL ANGOTTI
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Credential | DPM
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Telephone | 215-659-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | SC002408L
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License Number State | PA
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