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General NPI Number Information
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NPI Number | 1366672503
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Entity Type | Organization
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Legal Business Name | ANKLE & FOOT CARE SPECIALISTS, PLLC
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Dates
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Enumeration Date | 07/22/2009
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Last Update Date | 10/06/2010
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Provider Practice Location Address
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Address Line | 1200 SOUTH KUHL AVE SUITE B
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City | ORLANDO
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State | FL
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Zip | 32806-1127
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Country | US
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Telephone | 407-648-4107
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Fax | 407-648-4177
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Provider Business Mailing Address
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Address Line | PO BOX 568396
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City | ORLANDO
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State | FL
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Zip | 32856-8396
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Country | US
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Telephone | 407-648-4107
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Fax | 407-648-4177
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Authorized Official
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Title or Position | MANAGER
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Name | DR. KATHLEEN PULSIFER
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Credential | D.P.M.
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Telephone | 407-648-4107
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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 | PO 3207
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License Number State | FL
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