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General NPI Number Information
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NPI Number | 1316750805
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Entity Type | Organization
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Legal Business Name | UNION FOOT CARE LLC
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 508 LAFAYETTE ST
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City | HAVRE DE GRACE
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State | MD
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Zip | 21078-3557
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Country | US
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Telephone | 410-939-2627
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Fax |
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Provider Business Mailing Address
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Address Line | 508 LAFAYETTE ST
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City | HAVRE DE GRACE
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State | MD
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Zip | 21078-3557
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Country | US
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Telephone | 410-939-2627
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD SILVERSTEIN
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Credential | DPM
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Telephone | 410-627-7131
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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 |
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License Number State |
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