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General NPI Number Information
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NPI Number | 1386853760
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Entity Type | Organization
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Legal Business Name | NORTHERN FOOT & ANKLE ASSOCIATES PA
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 04/24/2013
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Provider Practice Location Address
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Address Line | 324 W SUPERIOR ST STE 408
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City | DULUTH
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State | MN
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Zip | 55802-1726
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Country | US
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Telephone | 218-722-0615
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Fax |
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Provider Business Mailing Address
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Address Line | 324 W SUPERIOR ST STE 408
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City | DULUTH
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State | MN
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Zip | 55802-1726
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Country | US
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Telephone | 218-722-0615
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | CURT A KRISTENSEN
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Credential | DPM
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Telephone | 218-722-0615
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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 | 482
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License Number State | MN
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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 | 498
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 496
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License Number State | MN
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