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General NPI Number Information
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NPI Number | 1164852125
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Entity Type | Organization
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Legal Business Name | ADVANTAGE FOOT CARE
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Dates
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Enumeration Date | 11/12/2013
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Last Update Date | 11/12/2013
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Provider Practice Location Address
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Address Line | 102 PLEASANT ST
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City | CONCORD
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State | NH
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Zip | 03301-3831
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Country | US
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Telephone | 603-228-3008
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Fax | 603-448-7148
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Provider Business Mailing Address
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Address Line | 102 PLEASANT ST
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City | CONCORD
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State | NH
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Zip | 03301-3831
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Country | US
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Telephone | 603-228-3008
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Fax | 603-448-7148
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Authorized Official
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Title or Position | PODIATRIST OWNER
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Name | DR. EDWARD P NEWCOTT
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Credential | DPM
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Telephone | 603-228-3008
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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 | 147
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License Number State | NH
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