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General NPI Number Information
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NPI Number | 1043727308
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Entity Type | Organization
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Legal Business Name | FOOT AND ANKLE CENTER INC
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Dates
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Enumeration Date | 01/08/2018
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Last Update Date | 03/02/2020
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Provider Practice Location Address
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Address Line | 2222 BRISTOL PIKE
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City | BENSALEM
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State | PA
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Zip | 19020-5210
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Country | US
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Telephone | 215-638-3338
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Fax | 215-638-3030
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Provider Business Mailing Address
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Address Line | 2222 BRISTOL PIKE
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City | BENSALEM
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State | PA
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Zip | 19020-5210
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Country | US
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Telephone | 215-638-3338
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Fax | 215-638-3030
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BINDU MATHEW
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Credential | DPM
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Telephone | 215-638-3338
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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 | SC006297
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License Number State | PA
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