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General NPI Number Information
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NPI Number | 1083034763
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Entity Type | Organization
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Legal Business Name | NEUHAUS FOOT AND ANKLE PC
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Dates
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Enumeration Date | 04/22/2014
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Last Update Date | 04/22/2014
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Provider Practice Location Address
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Address Line | 10644 CONCORD RD
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City | BRENTWOOD
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State | TN
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Zip | 37027-8811
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Country | US
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Telephone | 615-220-8788
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Fax | 615-220-8688
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Provider Business Mailing Address
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Address Line | 300 STONECREST BLVD STE 450
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City | SMYRNA
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State | TN
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Zip | 37167-6851
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Country | US
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Telephone | 615-220-8788
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Fax | 615-220-8688
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. MEGAN CATHERINE HEIKKINEN
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Credential |
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Telephone | 615-220-8788
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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 | DPM609
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License Number State | TN
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