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General NPI Number Information
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NPI Number | 1336002443
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Entity Type | Organization
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Legal Business Name | FIRST STEP PODIATRY PLLC
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 15 LAVOIE DR
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City | NOTTINGHAM
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State | NH
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Zip | 03290-5522
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Country | US
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Telephone | 484-707-8420
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Fax |
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Provider Business Mailing Address
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Address Line | 2093 PHILADELPHIA PIKE STE 9775
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City | CLAYMONT
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State | DE
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Zip | 19703-2424
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | CATHERINE STARK
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Credential | DPM
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Telephone | 484-707-8420
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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 |
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License Number State |
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Taxonomy #2
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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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