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General NPI Number Information
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NPI Number | 1023106739
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Entity Type | Organization
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Legal Business Name | SOUTH CENTRAL FOOT CARE, PLLC
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 11/21/2019
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Provider Practice Location Address
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Address Line | 238 CASH RD SW
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City | CAMDEN
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State | AR
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Zip | 71701-3737
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Country | US
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Telephone | 870-204-7249
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Fax | 870-675-1586
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Provider Business Mailing Address
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Address Line | PO BOX 855
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City | CAMDEN
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State | AR
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Zip | 71711-0855
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Country | US
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Telephone | 870-280-2131
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Fax | 870-204-7807
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BARBARA PORCHIA
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Credential | DPM
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Telephone | 870-280-2131
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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 | AR186
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License Number State | AR
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