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General NPI Number Information
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NPI Number | 1174590939
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Entity Type | Individual
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Provider Name | THOMAS R. NEBEL D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 03/01/2006
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Last Update Date | 10/09/2015
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Provider Practice Location Address
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Address Line | 164 POINT PLAZA
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City | BUTLER
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State | PA
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Zip | 16001-2540
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Country | US
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Telephone | 724-282-4300
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Fax | 724-283-4411
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Provider Business Mailing Address
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Address Line | 564 BONNIEBROOK ROAD
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City | BUTLER
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State | PA
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Zip | 16002-9266
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Country | US
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Telephone | 724-282-4300
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Fax | 724-283-4411
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | SC001669L
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License Number State | PA
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