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General NPI Number Information
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NPI Number | 1063464733
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Entity Type | Individual
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Provider Name | JEFFREY P MUHA D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 11/05/2013
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Provider Practice Location Address
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Address Line | 1580 FREEDOM BLVD SUITE 106
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City | FLORENCE
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State | SC
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Zip | 29505-6074
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Country | US
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Telephone | 843-674-1480
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Fax | 843-674-6411
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Provider Business Mailing Address
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Address Line | PO BOX 11271
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City | BELFAST
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State | ME
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Zip | 04915-4003
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Country | US
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Telephone |
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Fax |
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 128
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License Number State | SC
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