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General NPI Number Information
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NPI Number | 1144578097
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Entity Type | Organization
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Legal Business Name | WEBB FOOT AND ANKLE CLINIC PC
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Dates
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Enumeration Date | 08/27/2012
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Last Update Date | 03/21/2014
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Provider Practice Location Address
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Address Line | 319 BLUE PEACOCK WAY SUITE 1
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City | SEYMOUR
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State | TN
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Zip | 37865-3924
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Country | US
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Telephone | 865-573-5551
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Fax | 865-573-5559
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Provider Business Mailing Address
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Address Line | 811 MIDDLE CREEK RD
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City | SEVIERVILLE
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State | TN
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Zip | 37862-5018
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Country | US
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Telephone | 865-774-2292
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Fax | 865-774-2243
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Authorized Official
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Title or Position | PODIATRIST
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Name | MICHAEL CHRISTOPHER WEBB
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Credential | D.P.M.
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Telephone | 865-573-5551
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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 | DPM624
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License Number State | TN
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