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General NPI Number Information
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NPI Number | 1407041486
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Entity Type | Organization
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Legal Business Name | FRIENDLY FOOT CARE, P.A.
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 10/28/2015
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Provider Practice Location Address
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Address Line | 10550 QUIVIRA RD SUITE 260
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City | OVERLAND PARK
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State | KS
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Zip | 66215-2375
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Country | US
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Telephone | 913-438-9898
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Fax | 913-438-9899
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Provider Business Mailing Address
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Address Line | 10550 QUIVIRA RD SUITE 260
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City | OVERLAND PARK
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State | KS
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Zip | 66215-2375
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Country | US
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Telephone | 913-438-9898
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Fax | 913-438-9899
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK EDWARD LANDRY
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Credential | DPM
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Telephone | 913-438-9898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 1200167
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License Number State | KS
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