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General NPI Number Information
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NPI Number | 1194912972
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Entity Type | Organization
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Legal Business Name | FEET FIRST PODIATRY PLLC
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 08/12/2021
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Provider Practice Location Address
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Address Line | 2148 AMI 2N
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City | LEXINGTON
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State | KY
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Zip | 40516-9602
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Country | US
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Telephone | 859-749-2945
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Fax | 859-745-7891
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Provider Business Mailing Address
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Address Line | 2148 AMI 2N
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City | LEXINGTON
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State | KY
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Zip | 40516-9602
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Country | US
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Telephone | 859-749-2945
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Fax | 859-745-7891
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Authorized Official
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Title or Position | PODIATRIST
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Name | ANN K FARRER
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Credential | DPM
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Telephone | 859-745-7890
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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 | 208
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 00208
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License Number State | KY
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