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General NPI Number Information
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NPI Number | 1407019839
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Entity Type | Individual
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Provider Name | EMILY J ERNST DPM
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Gender | Female
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 09/03/2015
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Provider Practice Location Address
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Address Line | 1677 EAGLE HARBOR PKWY SUITE C
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City | FLEMING ISLAND
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State | FL
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Zip | 32003-4802
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Country | US
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Telephone | 904-278-5112
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Fax | 904-278-5874
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Provider Business Mailing Address
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Address Line | 1677 EAGLE HARBOR PKWY SUITE C
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City | FLEMING ISLAND
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State | FL
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Zip | 32003-4802
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Country | US
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Telephone | 904-278-5112
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Fax | 904-278-5874
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PO3484
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License Number State | FL
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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 | SC006047
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License Number State | PA
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