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General NPI Number Information
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NPI Number | 1164746517
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Entity Type | Organization
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Legal Business Name | HEALY, INC
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Dates
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Enumeration Date | 03/15/2010
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Last Update Date | 03/15/2010
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Provider Practice Location Address
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Address Line | 733 PLANTATION ESTATES DRIVE
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City | MATTHEWS
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State | NC
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Zip | 28105-9179
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Country | US
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Telephone | 704-845-5900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 78619
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City | CHARLOTTE
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State | NC
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Zip | 28271-7037
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Country | US
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Telephone | 704-641-8513
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Fax | 866-741-8485
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CATHERINE B. HEALY
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Credential | DPM
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Telephone | 704-641-8513
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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 | 127
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License Number State | NC
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