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General NPI Number Information
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NPI Number | 1366625972
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Entity Type | Organization
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Legal Business Name | HEALTH ONE PODIATRY P.A.
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Dates
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Enumeration Date | 12/06/2007
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Last Update Date | 07/18/2022
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Provider Practice Location Address
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Address Line | 2808 N 5TH STREET HWY
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City | READING
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State | PA
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Zip | 19605-2419
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Country | US
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Telephone | 610-500-4081
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Fax | 610-500-4081
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Provider Business Mailing Address
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Address Line | 2808 N 5TH STREET HWY
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City | READING
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State | PA
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Zip | 19605-2419
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Country | US
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Telephone | 610-921-8800
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Fax | 610-929-6942
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Authorized Official
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Title or Position | PHYSICIAN/PRESIDENT
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Name | DR. PATRICIA ANN MCILRATH
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Credential | DPM
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Telephone | 302-798-2001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | E1-0000148
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License Number State | DE
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