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General NPI Number Information
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NPI Number | 1053596197
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Entity Type | Organization
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Legal Business Name | FOOT AND ANKLE CENTER OF OCALA PA
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 07/26/2011
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Provider Practice Location Address
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Address Line | 6160 SW HIGHWAY 200 SUITE 100
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City | OCALA
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State | FL
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Zip | 34476-8307
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Country | US
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Telephone | 352-861-1055
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Fax | 352-854-6743
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Provider Business Mailing Address
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Address Line | 6160 SW HIGHWAY 200 SUITE 100
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City | OCALA
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State | FL
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Zip | 34476-8307
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Country | US
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Telephone | 352-861-1055
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Fax | 352-854-6743
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT F LINN JR.
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Credential | D.P.M.
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Telephone | 352-861-1055
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PO-0002122
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License Number State | FL
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