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General NPI Number Information
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NPI Number | 1164475539
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Entity Type | Organization
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Legal Business Name | YOUR HOMETOWN FOOT CARE INC
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 10/29/2020
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Provider Practice Location Address
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Address Line | 820 CHILLICOTHE ST
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City | PORTSMOUTH
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State | OH
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Zip | 45662-4028
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Country | US
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Telephone | 740-353-6911
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Fax | 740-353-2950
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Provider Business Mailing Address
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Address Line | 820 CHILLICOTHE ST
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City | PORTSMOUTH
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State | OH
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Zip | 45662-4028
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Country | US
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Telephone | 740-353-6911
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Fax | 740-353-2950
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Authorized Official
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Title or Position | DPM OWNER
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Name | DR. DAVID CHARLES GREINER
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Credential | DPM
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Telephone | 740-353-6911
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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 |
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License Number State |
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