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General NPI Number Information
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NPI Number | 1053314617
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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 | 05/27/2005
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Last Update Date | 07/29/2020
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Provider Practice Location Address
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Address Line | 8280 MONTGOMERY RD STE 103
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City | CINCINNATI
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State | OH
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Zip | 45236-6101
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Country | US
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Telephone | 513-984-1911
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 933400
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City | CLEVELAND
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State | OH
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Zip | 44193-0038
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Country | US
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Telephone | 513-984-1911
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Fax | 513-984-1912
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Authorized Official
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Title or Position | PODIATRIST OWNER
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Name | JOHN ROOTRING
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Credential | DPM
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Telephone | 513-984-1911
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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 | 36002400
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License Number State | OH
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