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General NPI Number Information
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NPI Number | 1124120654
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Entity Type | Organization
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Legal Business Name | TOES ON THE GO INC
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Dates
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Enumeration Date | 09/04/2006
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Last Update Date | 12/10/2018
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Provider Practice Location Address
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Address Line | 26615 CARMEL CENTER PL STE 103
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City | CARMEL
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State | CA
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Zip | 93923-8654
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Country | US
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Telephone | 931-373-8637
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Fax |
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Provider Business Mailing Address
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Address Line | 26615 CARMEL CENTER PL STE 103
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City | CARMEL
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State | CA
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Zip | 93923-8654
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Country | US
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Telephone | 831-425-8637
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Fax | 831-425-8634
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHELE MARIA KRAFT
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Credential | DPM
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Telephone | 831-425-8637
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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 | E3521
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License Number State | CA
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