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General NPI Number Information
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NPI Number | 1174820591
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Entity Type | Organization
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Legal Business Name | STEP WELL PODIATRY LLC
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Dates
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Enumeration Date | 02/21/2011
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 9419 COMMON BROOK RD STE 200
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City | OWINGS MILLS
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State | MD
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Zip | 21117-7570
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Country | US
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Telephone | 443-855-5952
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Fax |
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Provider Business Mailing Address
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Address Line | 9722 GROFFS MILL DR SUITE 111
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City | OWINGS MILLS
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State | MD
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Zip | 21117-6341
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Country | US
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Telephone | 443-855-5952
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Fax |
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Authorized Official
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Title or Position | PODIATRIST, SURGEON
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Name | DR. ANGELA YVONNE SAVAGE
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Credential | DPM
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Telephone | 443-855-5952
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 1495
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License Number State | MD
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