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General NPI Number Information
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NPI Number | 1265021356
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Entity Type | Organization
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Legal Business Name | FOOT COUNTRY, LLC
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Dates
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Enumeration Date | 01/13/2021
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Last Update Date | 04/29/2021
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Provider Practice Location Address
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Address Line | 232 LEE ST N STE D
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City | LEWISBURG
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State | WV
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Zip | 24901-0300
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Country | US
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Telephone | 301-461-7405
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Fax |
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Provider Business Mailing Address
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Address Line | 232 LEE ST N STE D
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City | LEWISBURG
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State | WV
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Zip | 24901-0300
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Country | US
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Telephone | 304-651-7554
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | CHRISTOPHER E MAJEWSKI
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Credential | DPM
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Telephone | 301-461-7405
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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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