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General NPI Number Information
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NPI Number | 1023618048
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Entity Type | Organization
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Legal Business Name | DR. KENT BIEHLER LLC
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Dates
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Enumeration Date | 10/28/2020
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 604 N HUTCHINSON AVE
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City | ADEL
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State | GA
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Zip | 31620-1900
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Country | US
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Telephone | 229-834-9691
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Fax |
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Provider Business Mailing Address
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Address Line | 4612 OAK ARBOR DR
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City | VALDOSTA
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State | GA
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Zip | 31602-4902
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Country | US
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Telephone | 229-834-9691
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Fax |
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Authorized Official
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Title or Position | OWNER/PODIATRIST
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Name | KENT ROBERT BIEHLER
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Credential | DPM
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Telephone | 229-834-9691
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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 |
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License Number State |
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