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General NPI Number Information
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NPI Number | 1336330620
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Entity Type | Organization
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Legal Business Name | BLUE RIDGE FOOTCARE AND SURGERY PLC
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 111 FAIRWAY LN STE 100
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City | STAUNTON
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State | VA
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Zip | 24401-3576
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Country | US
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Telephone | 540-885-8891
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Fax | 540-885-0016
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Provider Business Mailing Address
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Address Line | 111 FAIRWAY LN STE 100
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City | STAUNTON
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State | VA
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Zip | 24401-3576
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Country | US
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Telephone | 540-885-8891
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Fax | 540-885-0016
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Authorized Official
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Title or Position | OWNER
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Name | THEODORE MCKEE
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Credential | DPM
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Telephone | 540-885-8891
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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 | 0103300877
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License Number State | VA
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