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General NPI Number Information
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NPI Number | 1376570127
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Entity Type | Organization
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Legal Business Name | LEHIGH VALLEY FOOT & ANKLE SURGEONS, PC
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 12/13/2007
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Provider Practice Location Address
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Address Line | 1575 POND RD SUITE 202
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City | ALLENTOWN
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State | PA
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Zip | 18104-2254
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Country | US
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Telephone | 610-391-0066
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Fax | 610-391-0096
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Provider Business Mailing Address
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Address Line | 1575 POND RD SUITE 202
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City | ALLENTOWN
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State | PA
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Zip | 18104-2254
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Country | US
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Telephone | 610-391-0066
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Fax | 610-391-0096
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | PHYLLIS A KAUFMAN
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Credential |
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Telephone | 610-391-0066
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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 | SC-003737-L
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License Number State | PA
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