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General NPI Number Information
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NPI Number | 1316243637
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Entity Type | Organization
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Legal Business Name | FAMILY FOOT & ANKLE CENTER INC PA
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Dates
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Enumeration Date | 02/03/2011
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Last Update Date | 11/29/2016
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Provider Practice Location Address
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Address Line | 25 NORTH F STREET
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City | HAMILTON
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State | OH
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Zip | 45013-0000
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Country | US
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Telephone | 513-863-8444
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Fax | 513-863-7593
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Provider Business Mailing Address
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Address Line | 8474 WINTON RD
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City | CINCINNATI
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State | OH
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Zip | 45231-4939
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Country | US
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Telephone | 513-728-4800
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Fax | 513-728-4601
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Authorized Official
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Title or Position | PRESIDENT
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Name | CYNTHIA D MILLER
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Credential | DPM
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Telephone | 513-728-4800
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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 | 36.003377
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License Number State | OH
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