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General NPI Number Information
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NPI Number | 1093837239
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE FOOT & ANKLE, SC
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 09/08/2009
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Provider Practice Location Address
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Address Line | 819 ASH ST
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City | SPOONER
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State | WI
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Zip | 54801-1201
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Country | US
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Telephone | 715-634-9023
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Fax | 715-634-9935
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Provider Business Mailing Address
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Address Line | 819 ASH ST
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City | SPOONER
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State | WI
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Zip | 54801-1201
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Country | US
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Telephone | 715-634-9023
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Fax | 715-634-9935
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CINDY G SCHMID
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Credential |
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Telephone | 715-634-9023
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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 |
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License Number State |
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