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General NPI Number Information
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NPI Number | 1184163313
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Entity Type | Organization
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Legal Business Name | A STEP AHEAD FOOT AND ANKLE CLINIC
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Dates
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Enumeration Date | 02/21/2017
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Last Update Date | 07/13/2017
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Provider Practice Location Address
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Address Line | 1432 HARRISON ST
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City | BATESVILLE
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State | AR
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Zip | 72501-7219
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Country | US
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Telephone | 870-345-3180
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Fax | 870-345-3180
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Provider Business Mailing Address
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Address Line | 1432 HARRISON ST
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City | BATESVILLE
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State | AR
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Zip | 72501-7219
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Country | US
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Telephone | 870-345-3180
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Fax | 870-345-3180
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MORGAN P CHESHIER
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Credential |
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Telephone | 870-664-0008
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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 | 264
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License Number State | AR
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