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General NPI Number Information
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NPI Number | 1356412142
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Entity Type | Organization
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Legal Business Name | AUSTINTOWN PODIATRY ASSOCIATES INC
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 05/29/2008
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Provider Practice Location Address
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Address Line | 1300 S CANFIELD NILES RD
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City | AUSTINTOWN
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State | OH
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Zip | 44515-4081
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Country | US
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Telephone | 330-792-6519
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Fax | 330-792-9911
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Provider Business Mailing Address
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Address Line | 1300 S CANFIELD NILES RD
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City | AUSTINTOWN
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State | OH
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Zip | 44515-4081
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Country | US
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Telephone | 330-792-6519
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Fax | 330-792-9911
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LARRY G KARLOCK
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Credential | DPM
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Telephone | 330-792-6519
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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 | 3600-2881
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License Number State | OH
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