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General NPI Number Information
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NPI Number | 1275703266
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Entity Type | Organization
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Legal Business Name | FAMILY PODIATRISTS,P.C.
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 24230 KARIM BLVD STE#140
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City | NOVI
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State | MI
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Zip | 48375-2960
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Country | US
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Telephone | 248-888-9500
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Fax | 248-888-9504
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Provider Business Mailing Address
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Address Line | 24230 KARIM BLVD STE#140
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City | NOVI
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State | MI
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Zip | 48375-2960
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Country | US
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Telephone | 248-888-9500
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Fax | 248-888-9504
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Authorized Official
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Title or Position | PRESIDENT/PODIATRIST
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Name | DR. SANFORD RALPH KANER
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Credential | D.P.M.
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Telephone | 248-888-9500
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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 | 5901000553
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License Number State | MI
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