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General NPI Number Information
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NPI Number | 1063387173
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Entity Type | Organization
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Legal Business Name | PAUL POTACH D.P.M.,P.C.
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 31 W DUNDEE RD
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City | WHEELING
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State | IL
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Zip | 60090-4863
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Country | US
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Telephone | 847-215-1525
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Fax | 847-215-7682
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Provider Business Mailing Address
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Address Line | 31 W DUNDEE RD
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City | WHEELING
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State | IL
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Zip | 60090-4863
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Country | US
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Telephone | 847-215-1525
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Fax | 847-215-7682
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Authorized Official
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Title or Position | OWNER
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Name | PAUL POTACH
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Credential | DPM
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Telephone | 847-215-1525
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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 |
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License Number State |
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