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General NPI Number Information
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NPI Number | 1316045396
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Entity Type | Organization
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Legal Business Name | KEYSTONE FOOT AND ANKLE ASSOCIATES, PC
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 02/27/2013
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Provider Practice Location Address
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Address Line | 100 W SPROUL RD SUITE 122
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City | SPRINGFIELD
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State | PA
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Zip | 19064-2033
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Country | US
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Telephone | 610-604-0734
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Fax | 610-604-0846
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Provider Business Mailing Address
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Address Line | 100 W SPROUL RD SUITE 122
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City | SPRINGFIELD
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State | PA
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Zip | 19064-2033
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Country | US
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Telephone | 610-604-0734
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Fax | 610-604-0846
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM M URBAS
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Credential | DPM
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Telephone | 610-604-0734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | SC002791L
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License Number State | PA
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