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General NPI Number Information
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NPI Number | 1114105210
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Entity Type | Organization
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Legal Business Name | ANKLE AND FOOT CLINIC OF ERIE PC
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Dates
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Enumeration Date | 01/31/2008
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Last Update Date | 05/06/2010
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Provider Practice Location Address
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Address Line | 3737 W 26TH ST
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City | ERIE
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State | PA
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Zip | 16506-2038
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Country | US
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Telephone | 814-835-3800
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Fax | 814-835-3808
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Provider Business Mailing Address
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Address Line | 3737 W 26TH ST
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City | ERIE
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State | PA
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Zip | 16506-2038
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Country | US
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Telephone | 814-835-3800
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Fax | 814-835-3808
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Authorized Official
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Title or Position | DPM
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Name | DR. BRIAN E MUSSETT
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Credential | DPM
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Telephone | 814-868-2590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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