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General NPI Number Information
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NPI Number | 1033434899
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Entity Type | Organization
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Legal Business Name | CHOICE PODIATRY ASSOCIATES INC
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Dates
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Enumeration Date | 04/05/2010
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Last Update Date | 03/21/2016
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Provider Practice Location Address
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Address Line | 9443 READING RD
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City | CINCINNATI
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State | OH
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Zip | 45215-3550
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Country | US
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Telephone | 513-563-2225
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Fax | 513-563-2527
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Provider Business Mailing Address
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Address Line | PO BOX 631912
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City | CINCINNATI
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State | OH
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Zip | 45263-1912
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Country | US
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Telephone | 513-563-2225
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Fax | 513-563-2527
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Authorized Official
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Title or Position | OWNER
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Name | IRVIN LEWIN
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Credential | DPM
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Telephone | 513-563-2225
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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 | 36002301
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License Number State | OH
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