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General NPI Number Information
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NPI Number | 1093901100
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Entity Type | Organization
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Legal Business Name | CUMBERLAND FOOT & ANKLE CENTERS
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Dates
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Enumeration Date | 09/21/2007
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Last Update Date | 03/16/2022
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Provider Practice Location Address
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Address Line | 117 TRADEPARK DR STE B
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City | SOMERSET
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State | KY
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Zip | 42503-3428
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Country | US
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Telephone | 606-679-2773
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Fax | 606-679-4626
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Provider Business Mailing Address
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Address Line | 117 TRADEPARK DR
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City | SOMERSET
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State | KY
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Zip | 42503-3428
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Country | US
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Telephone | 606-679-2773
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Fax | 606-679-4626
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Authorized Official
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Title or Position | OFFICE/BUSINESS MANAGER
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Name | MS. MARTHA J LEE
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Credential |
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Telephone | 606-679-2773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State | KY
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