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General NPI Number Information
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NPI Number | 1427114446
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN PODIATRY, INC.
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 12/05/2007
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Provider Practice Location Address
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Address Line | 415 W HARDING RD
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City | SPRINGFIELD
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State | OH
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Zip | 45504-1706
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Country | US
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Telephone | 937-399-8011
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Fax | 937-399-7096
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Provider Business Mailing Address
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Address Line | 415 W HARDING RD
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City | SPRINGFIELD
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State | OH
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Zip | 45504-1706
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Country | US
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Telephone | 937-399-8011
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Fax | 937-399-7096
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. THOMAS A YOUNG JR.
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Credential | B.S.
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Telephone | 937-399-8011
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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 | OH
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