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General NPI Number Information
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NPI Number | 1215219704
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Entity Type | Organization
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Legal Business Name | BRANDYWINE PODIATRY PA
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Dates
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Enumeration Date | 09/12/2011
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 2106 SILVERSIDE RD STE 201
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City | WILMINGTON
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State | DE
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Zip | 19810-4164
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Country | US
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Telephone | 302-478-8099
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 N BANCROFT PKWY
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City | WILMINGTON
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State | DE
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Zip | 19805-2690
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Country | US
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Telephone | 302-658-1129
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER SAVAGE
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Credential | DPM
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Telephone | 302-658-1129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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