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General NPI Number Information
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NPI Number | 1255805446
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Entity Type | Organization
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Legal Business Name | NEWEY FOOT CLINIC LLC
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Dates
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Enumeration Date | 01/22/2019
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 8200 AVERY RD STE 2
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City | BROADVIEW HEIGHTS
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State | OH
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Zip | 44147-1663
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Country | US
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Telephone | 440-526-0860
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Fax | 440-736-7410
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Provider Business Mailing Address
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Address Line | 8200 AVERY RD STE 2
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City | BROADVIEW HEIGHTS
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State | OH
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Zip | 44147-1663
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Country | US
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Telephone | 440-526-0860
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Fax | 440-736-7410
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Authorized Official
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Title or Position | PODIATRIST
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Name | SARAH NEWEY
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Credential | DPM
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Telephone | 330-623-6680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number |
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License Number State |
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