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General NPI Number Information
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NPI Number | 1073782462
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Entity Type | Organization
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Legal Business Name | WOODWARD FOOT CLINIC PLLC
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Dates
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Enumeration Date | 02/29/2008
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Last Update Date | 05/22/2008
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Provider Practice Location Address
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Address Line | 812 FRISCO AVE
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City | CLINTON
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State | OK
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Zip | 73601-3323
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Country | US
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Telephone | 580-256-8603
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Fax | 580-256-8604
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Provider Business Mailing Address
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Address Line | 1712 MAIN ST
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City | WOODWARD
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State | OK
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Zip | 73801-2939
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Country | US
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Telephone | 580-256-8603
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Fax | 580-256-8604
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Authorized Official
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Title or Position | MEMBER
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Name | DR. FRANK S AARON
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Credential | D.P.M.
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Telephone | 580-256-8603
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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 | 127
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License Number State | OK
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