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General NPI Number Information
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NPI Number | 1316994924
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Entity Type | Organization
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Legal Business Name | AFFILIATED PODIATRISTS SC
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 02/12/2013
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Provider Practice Location Address
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Address Line | 4220 S 27TH ST SUITE 101
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City | MILWAUKEE
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State | WI
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Zip | 53221-1855
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Country | US
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Telephone | 414-281-5480
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Fax | 414-281-9866
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Provider Business Mailing Address
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Address Line | 4220 S 27TH ST SUITE 101
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City | MILWAUKEE
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State | WI
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Zip | 53221-1855
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Country | US
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Telephone | 414-281-5480
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Fax | 414-281-9866
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LOUIS ROBERT LAPOW
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Credential | DPM
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Telephone | 414-281-5480
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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 | 372-025
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License Number State | WI
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