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General NPI Number Information
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NPI Number | 1073716304
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Entity Type | Organization
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Legal Business Name | FOOTWORKS INC.
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 06/21/2010
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Provider Practice Location Address
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Address Line | 1152 W 103RD ST
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City | KANSAS CITY
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State | MO
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Zip | 64114-4511
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Country | US
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Telephone | 816-942-3668
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Fax | 816-942-9402
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Provider Business Mailing Address
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Address Line | 1152 W 103RD ST
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City | KANSAS CITY
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State | MO
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Zip | 64114-4511
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Country | US
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Telephone | 816-942-3668
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Fax | 816-942-9402
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JEFF R DUBINSKY
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Credential | CERTIFIED PEDORTHIST
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Telephone | 816-942-3668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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