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General NPI Number Information
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NPI Number | 1316993033
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Entity Type | Organization
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Legal Business Name | SPRINKLE FOOT & ANKLE CENTER PA
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 05/11/2010
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Provider Practice Location Address
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Address Line | 751 BETHESDA ROAD SPRINKLE FOOT AND ANKLE CENTER PA STE 102
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City | WINSTON-SALEM
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State | NC
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Zip | 27103
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Country | US
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Telephone | 336-765-8637
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Fax | 336-765-7868
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Provider Business Mailing Address
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Address Line | 751 BETHESDA ROAD SPRINKLE FOOT AND ANKLE CENTER PA STE 102
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City | WINSTON-SALEM
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State | NC
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Zip | 27103
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Country | US
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Telephone | 336-765-8637
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Fax | 336-765-7868
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Authorized Official
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Title or Position | OWNER CEO
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Name | ROBERT SPRINKLE
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Credential |
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Telephone | 336-765-8637
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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 | 215
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License Number State | NC
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