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General NPI Number Information
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NPI Number | 1083892178
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Entity Type | Organization
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Legal Business Name | ANN ARBOR FOOT CLINIC P.C.
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Dates
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Enumeration Date | 01/31/2008
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Last Update Date | 03/27/2008
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Provider Practice Location Address
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Address Line | 2550 DEXTER RD
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City | ANN ARBOR
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State | MI
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Zip | 48103-2702
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Country | US
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Telephone | 734-994-9111
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Fax | 734-994-4410
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Provider Business Mailing Address
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Address Line | 2550 DEXTER RD
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City | ANN ARBOR
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State | MI
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Zip | 48103-2702
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Country | US
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Telephone | 734-994-9111
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Fax | 734-994-4410
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LORI ANN SHELDON
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Credential | D.P.M.
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Telephone | 734-994-9111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 5901002011
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 5901002011
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License Number State | MI
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