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General NPI Number Information
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NPI Number | 1144312521
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Entity Type | Individual
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Provider Name | BHEKUMUZI MCGLEN KHUMALO DPM
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 1100 BISHOP ST
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City | UNION CITY
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State | TN
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Zip | 38261-5402
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Country | US
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Telephone | 731-599-9909
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Fax | 731-599-9970
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Provider Business Mailing Address
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Address Line | 1100 BISHOP ST
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City | UNION CITY
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State | TN
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Zip | 38261-5402
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Country | US
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Telephone | 731-599-9909
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Fax | 731-599-9970
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 177
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License Number State | AR
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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 | 494
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License Number State | TN
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