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NPI 1104097567

NPI 1104097567 : FAMILY FOOT CARE CENTERS, P.C. : CHESAPEAKE, VA

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General NPI Number Information
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    NPI Number           |    1104097567
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    Entity Type          |    Organization 
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    Legal Business Name  |    FAMILY FOOT CARE CENTERS, P.C. 
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Dates
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    Enumeration Date     |    03/13/2008
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    Last Update Date     |    12/21/2022
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Provider Practice Location Address
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    Address Line         |    801 VOLVO PKWY SUITE 130
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    City                 |    CHESAPEAKE
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    State                |    VA
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    Zip                  |    23320-2811
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    Country              |    US
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    Telephone            |    757-547-3668
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    Fax                  |    757-547-4335
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Provider Business Mailing Address
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    Address Line         |    801 VOLVO PKWY SUITE 130
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    City                 |    CHESAPEAKE
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    State                |    VA
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    Zip                  |    23320-2811
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    Country              |    US
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    Telephone            |    757-547-3668
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    Fax                  |    757-547-4335
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Authorized Official
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    Title or Position    |    PHYSICIAN
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    Name                 |    DR. MARC J FINK 
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    Credential           |    DPM
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    Telephone            |    757-547-3668
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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       |    
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    License Number State |    
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Taxonomy #2
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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 |    
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