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General NPI Number Information
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NPI Number | 1225016116
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Entity Type | Organization
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Legal Business Name | KEYSTONE PODIATRIC MEDICAL ASSOCIATES P C
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Dates
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Enumeration Date | 01/03/2006
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 23 N MAIN ST
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City | BIGLERVILLE
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State | PA
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Zip | 17307-0526
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Country | US
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Telephone | 717-677-9288
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Fax | 717-677-4196
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Provider Business Mailing Address
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Address Line | 6100 JONESTOWN RD
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City | HARRISBURG
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State | PA
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Zip | 17112-2607
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Country | US
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Telephone | 717-541-0988
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Fax | 717-412-4882
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Authorized Official
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Title or Position | PRESIDENT CORPORATION
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Name | DR. RICHARD A ROGERS
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Credential | DPM
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Telephone | 717-677-9288
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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 |
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License Number State |
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