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General NPI Number Information
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NPI Number | 1184618639
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN FOOT & ANKLE CARE INC
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Dates
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Enumeration Date | 09/09/2005
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Last Update Date | 10/25/2011
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Provider Practice Location Address
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Address Line | 1170 NILES CORTLAND RD SUITE 1
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City | NILES
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State | OH
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Zip | 44446-3591
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Country | US
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Telephone | 330-544-4141
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Fax | 330-544-4134
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Provider Business Mailing Address
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Address Line | 1170 NILES CORTLAND RD SUITE 1
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City | NILES
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State | OH
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Zip | 44446-3591
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Country | US
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Telephone | 330-544-4141
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Fax | 330-544-4134
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. JEFFREY T MOLINARO
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Credential | DPM, FACFAS
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Telephone | 330-872-7655
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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 | 00362787M
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License Number State | OH
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