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General NPI Number Information
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NPI Number | 1184836629
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Entity Type | Organization
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Legal Business Name | FOOT SOLUTIONS, INC.
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/01/2019
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Provider Practice Location Address
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Address Line | 2359 WINDY HILL RD STE 400
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City | MARIETTA
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State | GA
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Zip | 30067-8684
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Country | US
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Telephone | 770-955-0099
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Fax | 770-953-6270
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Provider Business Mailing Address
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Address Line | 4101 ROSWELL RD STE 800
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City | MARIETTA
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State | GA
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Zip | 30062-6292
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Country | US
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Telephone | 770-955-0099
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Fax | 770-953-6270
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Authorized Official
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Title or Position | CEO
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Name | MR. RAYMOND J MARGIANO
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Credential |
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Telephone | 770-955-0099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 20013439280
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License Number State | GA
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