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General NPI Number Information
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NPI Number | 1285250613
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Entity Type | Organization
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Legal Business Name | INTEGRITY FOOT & ANKLE CENTER
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Dates
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Enumeration Date | 06/22/2020
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Last Update Date | 06/22/2020
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Provider Practice Location Address
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Address Line | 350 MAJESTIC CV
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City | ALPHARETTA
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State | GA
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Zip | 30004-4566
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Country | US
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Telephone | 703-856-6663
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Fax |
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Provider Business Mailing Address
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Address Line | 350 MAJESTIC CV
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City | ALPHARETTA
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State | GA
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Zip | 30004-4566
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Country | US
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Telephone | 703-856-6663
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICK QUALTIRE
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Credential | DPM
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Telephone | 770-883-7960
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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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