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General NPI Number Information
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NPI Number | 1336835685
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Entity Type | Organization
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Legal Business Name | CMP FOOT AND ANKLE SERVICES L.L.C.
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Dates
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Enumeration Date | 04/11/2023
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Last Update Date | 04/11/2023
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Provider Practice Location Address
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Address Line | 436 DINWIDDIE ST APT 1
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City | PORTSMOUTH
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State | VA
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Zip | 23704-3657
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Country | US
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Telephone | 757-392-4974
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Fax |
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Provider Business Mailing Address
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Address Line | 436 DINWIDDIE ST APT 1
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City | PORTSMOUTH
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State | VA
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Zip | 23704-3657
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Country | US
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Telephone | 757-392-4974
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHANTEL PINNOCK
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Credential | DPM
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Telephone | 757-392-4974
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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 |
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License Number State |
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