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General NPI Number Information
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NPI Number | 1417234022
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Entity Type | Organization
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Legal Business Name | PODIATRY ASSOCIATES PLLC
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Dates
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Enumeration Date | 11/10/2011
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Last Update Date | 11/10/2011
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Provider Practice Location Address
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Address Line | 56 SGT PRENTISS DR
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City | NATCHEZ
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State | MS
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Zip | 39120-4726
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Country | US
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Telephone | 601-446-9850
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Fax | 601-446-9833
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Provider Business Mailing Address
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Address Line | PO BOX 18195
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City | NATCHEZ
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State | MS
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Zip | 39122-8195
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Country | US
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Telephone | 601-446-9850
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Fax | 601-446-9833
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. RICHARD MYERS
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Credential |
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Telephone | 601-446-9850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State | MS
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