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General NPI Number Information
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NPI Number | 1235498197
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Entity Type | Organization
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Legal Business Name | BRUCE A PICHLER DPM PC
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Dates
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Enumeration Date | 05/14/2012
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Last Update Date | 05/14/2012
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Provider Practice Location Address
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Address Line | 59 TIPTON DR
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City | DAHLONEGA
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State | GA
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Zip | 30533-1603
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Country | US
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Telephone | 706-864-0169
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Fax | 706-864-5396
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Provider Business Mailing Address
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Address Line | 59 TIPTON DR
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City | DAHLONEGA
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State | GA
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Zip | 30533-1603
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Country | US
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Telephone | 706-864-0169
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Fax | 706-864-5396
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRUCE ARTHUR PICHLER
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Credential | DPM
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Telephone | 706-864-0169
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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 | POD001079
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License Number State | GA
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