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General NPI Number Information
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NPI Number | 1306807961
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Entity Type | Organization
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Legal Business Name | FRANKLIN COUNTY FOOT & ANKLE CENTER LLC
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1905 MARKET SQUARE BLVD
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City | WAYNESBORO
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State | PA
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Zip | 17268-3811
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Country | US
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Telephone | 717-762-6300
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Fax | 717-762-1831
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Provider Business Mailing Address
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Address Line | 1905 MARKET SQUARE BLVD
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City | WAYNESBORO
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State | PA
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Zip | 17268-3811
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Country | US
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Telephone | 717-762-6300
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Fax | 717-762-1831
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN S JACKO
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Credential | D.P.M.
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Telephone | 717-762-6300
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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 | PA
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