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General NPI Number Information
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NPI Number | 1043338379
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Entity Type | Organization
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Legal Business Name | FOOT & ANKLE SPECIALISTS OF CONNECTICUT , PC
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 03/08/2022
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Provider Practice Location Address
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Address Line | 6 GERMANTOWN RD
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City | DANBURY
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State | CT
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Zip | 06810-5005
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Country | US
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Telephone | 203-748-2220
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Fax | 203-748-3672
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Provider Business Mailing Address
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Address Line | 6 GERMANTOWN RD
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City | DANBURY
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State | CT
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Zip | 06810-5005
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Country | US
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Telephone | 203-748-2220
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Fax | 203-748-3672
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH R TREADWELL
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Credential | DPM
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Telephone | 203-748-2220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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