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General NPI Number Information
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NPI Number | 1306077631
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Entity Type | Organization
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Legal Business Name | FOOT AND ANKLE CARE CENTER
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Dates
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Enumeration Date | 08/04/2009
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Last Update Date | 05/18/2011
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Provider Practice Location Address
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Address Line | 8350 GREENSBORO DR 107
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City | MC LEAN
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State | VA
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Zip | 22102-3533
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Country | US
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Telephone | 412-527-5098
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Fax |
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Provider Business Mailing Address
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Address Line | 8350 GREENSBORO DR 107
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City | MC LEAN
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State | VA
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Zip | 22102-3533
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Country | US
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Telephone | 412-527-5098
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMI PARIKH
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Credential | DPM
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Telephone | 412-527-5098
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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 | 103301005
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License Number State | VA
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