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General NPI Number Information
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NPI Number | 1033182837
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Entity Type | Individual
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Provider Name | VAFA N FERDOWSIAN DPM
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Gender | Male
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 01/02/2019
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Provider Practice Location Address
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Address Line | 1120 HOGAN LN STE B
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City | CONWAY
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State | AR
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Zip | 72034-8216
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Country | US
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Telephone | 501-327-3668
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Fax | 501-327-3664
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Provider Business Mailing Address
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Address Line | 703 DONAGHEY AVE
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City | CONWAY
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State | AR
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Zip | 72034-5107
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Country | US
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Telephone | 501-327-3668
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Fax | 501-327-3664
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 230
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License Number State | AR
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