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General NPI Number Information
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NPI Number | 1164528402
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Entity Type | Organization
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Legal Business Name | CHELTENHAM FOOT AND ANKLE
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1801 W CHELTENHAM AVE
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City | ELKINS PARK
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State | PA
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Zip | 19027-1049
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Country | US
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Telephone | 215-635-3656
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Fax | 215-635-1220
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Provider Business Mailing Address
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Address Line | 1801 W CHELTENHAM AVE
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City | ELKINS PARK
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State | PA
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Zip | 19027-1049
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Country | US
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Telephone | 215-635-3656
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Fax | 215-635-1220
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Authorized Official
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Title or Position | DR
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Name | DR. SHARMILA DAS-WATTLEY
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Credential | DPM
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Telephone | 215-635-3656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | SCOO4426L
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License Number State | PA
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