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General NPI Number Information
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NPI Number | 1083821904
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Entity Type | Organization
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Legal Business Name | MICHAEL N. FINE, DPM, PC
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 08/10/2022
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Provider Practice Location Address
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Address Line | 2700 CLAY EDWARDS DR STE 360
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City | NORTH KANSAS CITY
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State | MO
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Zip | 64116-3270
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Country | US
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Telephone | 816-455-8900
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Fax | 816-455-8901
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Provider Business Mailing Address
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Address Line | 2700 CLAY EDWARDS DR STE 360
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City | KANSAS CITY
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State | MO
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Zip | 64116-3270
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Country | US
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Telephone | 816-455-8900
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Fax | 816-455-8901
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. MICHAEL N FINE
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Credential | DPM
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Telephone | 816-455-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 679
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License Number State | MO
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