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General NPI Number Information
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NPI Number | 1356492599
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Entity Type | Organization
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Legal Business Name | ANKLE & FOOT ASSOCIATES, LLC
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 05/15/2013
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Provider Practice Location Address
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Address Line | 501 W ONEIDA ST
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City | WAYCROSS
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State | GA
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Zip | 31501-5337
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Country | US
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Telephone | 912-283-6471
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Fax | 912-283-3590
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Provider Business Mailing Address
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Address Line | 501 W ONEIDA ST
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City | WAYCROSS
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State | GA
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Zip | 31501-5337
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Country | US
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Telephone | 912-283-6471
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Fax | 912-283-3590
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID P MURPHY
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Credential | D.P.M.
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Telephone | 912-283-6471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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