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General NPI Number Information
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NPI Number | 1356384713
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Entity Type | Organization
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Legal Business Name | ALLIED FOOT & ANKLE PC
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 06/10/2010
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Provider Practice Location Address
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Address Line | 295 STONER AVE STE 105
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City | WESTMINSTER
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State | MD
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Zip | 21157-5698
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Country | US
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Telephone | 410-848-6800
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Fax | 410-857-4227
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Provider Business Mailing Address
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Address Line | 295 STONER AVE STE 105
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City | WESTMINSTER
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State | MD
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Zip | 21157-5698
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Country | US
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Telephone | 410-848-6800
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Fax | 410-857-4227
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Authorized Official
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Title or Position | DIRECTOR OF MEDICINE
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Name | JOHN DOUGLAS BUTLER
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Credential | M.D.
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Telephone | 410-848-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 495624002
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License Number State | MD
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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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