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General NPI Number Information
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NPI Number | 1376715870
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Entity Type | Organization
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Legal Business Name | TRI-COUNTY FOOT & ANKLE CENTERS LTD
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 04/05/2011
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Provider Practice Location Address
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Address Line | 4310 W CRYSTAL LAKE RD STE F
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City | MCHENRY
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State | IL
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Zip | 60050-4282
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Country | US
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Telephone | 815-363-3223
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Fax | 815-353-3240
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Provider Business Mailing Address
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Address Line | 4310 W CRYSTAL LAKE RD STE F
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City | MCHENRY
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State | IL
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Zip | 60050-4282
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Country | US
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Telephone | 815-363-3223
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Fax | 815-353-3240
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. IQBAL KHAN
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Credential |
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Telephone | 815-363-3223
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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 |
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License Number State |
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