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General NPI Number Information
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NPI Number | 1275779605
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Entity Type | Organization
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Legal Business Name | FOOT MANAGEMENT INC.
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Dates
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Enumeration Date | 01/07/2009
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Last Update Date | 01/07/2009
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Provider Practice Location Address
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Address Line | 7201 FRIENDSHIP RD
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City | PITTSVILLE
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State | MD
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Zip | 21850-2039
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Country | US
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Telephone | 410-835-3668
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Fax | 410-835-8966
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Provider Business Mailing Address
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Address Line | 7201 FRIENDSHIP RD
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City | PITTSVILLE
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State | MD
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Zip | 21850-2039
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Country | US
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Telephone | 410-835-3668
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Fax | 410-835-8966
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | LUCY MOHR
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Credential | C. PED
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Telephone | 410-835-3668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | CPED0653
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License Number State | MD
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