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NPI 1215806450

NPI 1215806450 : HARRY COTLER LLC : SUMMERVILLE, SC

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General NPI Number Information
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    NPI Number           |    1215806450
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    Entity Type          |    Organization 
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    Legal Business Name  |    HARRY COTLER LLC 
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Dates
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    Enumeration Date     |    11/04/2025
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    Last Update Date     |    11/04/2025
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Provider Practice Location Address
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    Address Line         |    162 BRANT DR 
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    City                 |    SUMMERVILLE
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    State                |    SC
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    Zip                  |    29483-8217
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    Country              |    US
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    Telephone            |    907-398-2700
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    162 BRANT DR 
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    City                 |    SUMMERVILLE
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    State                |    SC
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    Zip                  |    29483-8217
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    Country              |    US
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    Telephone            |    907-398-2700
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PODIATRIST/OWNER
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    Name                 |    DR. HARRY  COTLER 
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    Credential           |    DPM
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    Telephone            |    907-398-2700
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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       |    
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    License Number State |    
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