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General NPI Number Information
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NPI Number | 1396535191
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Entity Type | Organization
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Legal Business Name | PODIATRIC ASSOCIATES OF NORTHWEST OHIO, LLC
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 1414 S BYRNE RD
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City | TOLEDO
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State | OH
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Zip | 43614-2363
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Country | US
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Telephone | 419-893-5539
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Fax | 419-893-6853
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Provider Business Mailing Address
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Address Line | 609 FORD ST
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City | MAUMEE
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State | OH
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Zip | 43537-1947
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Country | US
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Telephone | 419-893-5539
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Fax | 419-893-6853
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MIKE LEACH
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Credential |
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Telephone | 614-286-5043
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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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