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General NPI Number Information
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NPI Number | 1134268188
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN PODIATRY PC
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 69 ALLEN ST SUITE 8
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City | RUTLAND
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State | VT
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Zip | 05701-4564
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Country | US
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Telephone | 802-773-7151
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Fax | 802-775-0679
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Provider Business Mailing Address
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Address Line | 69 ALLEN ST STE 5
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City | RUTLAND
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State | VT
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Zip | 05701-4564
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Country | US
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Telephone | 802-773-7151
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Fax | 802-775-0679
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Authorized Official
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Title or Position | OWNER
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Name | MARTIN G CARMODY
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Credential | DPM
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Telephone | 802-773-7151
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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 | 560000146
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License Number State | VT
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