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General NPI Number Information
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NPI Number | 1053361568
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Entity Type | Individual
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Provider Name | JOHN ANTHONY CHARSKI D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 05/14/2008
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Provider Practice Location Address
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Address Line | 9331 E HILLERY WAY
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2857
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Country | US
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Telephone | 480-614-1856
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Fax | 480-614-5345
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Provider Business Mailing Address
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Address Line | PO BOX 13990
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City | SCOTTSDALE
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State | AZ
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Zip | 85267-3990
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Country | US
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Telephone | 480-614-1856
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Fax | 480-614-5345
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | DPM309
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License Number State | AZ
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