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General NPI Number Information
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NPI Number | 1417129768
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Entity Type | Organization
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Legal Business Name | FOOT AND ANKLE SPECIALISTS, P.C.
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 03/28/2008
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Provider Practice Location Address
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Address Line | 7016 LEE PARK RD SUITE 105
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-3682
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Country | US
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Telephone | 804-746-5488
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Fax | 804-730-1223
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Provider Business Mailing Address
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Address Line | 7016 LEE PARK RD SUITE 105
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-3682
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Country | US
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Telephone | 804-746-5488
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Fax | 804-730-1223
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LIMOR GLAZER
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Credential | DPM
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Telephone | 804-746-5488
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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 | 0103000846
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License Number State | VA
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