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General NPI Number Information
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NPI Number | 1336376169
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Entity Type | Organization
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Legal Business Name | METROPOLITAN FOOT & ANKLE PLLC
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Dates
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Enumeration Date | 06/19/2009
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Last Update Date | 11/12/2009
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Provider Practice Location Address
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Address Line | 401 E CHESTNUT ST
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City | LOUISVILLE
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State | KY
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Zip | 40202-5700
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Country | US
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Telephone | 502-384-3926
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6252
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City | LOUISVILLE
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State | KY
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Zip | 40206-0252
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Country | US
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Telephone | 502-384-3926
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BENJAMIN IVAN MCKINNEY
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Credential | DPM
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Telephone | 502-384-3926
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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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