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General NPI Number Information
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NPI Number | 1427236843
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Entity Type | Organization
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Legal Business Name | ADVANCED CARE PODIATRY, LLC
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 12/13/2019
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Provider Practice Location Address
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Address Line | 3046 KNIGHTS RD
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City | BENSALEM
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State | PA
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Zip | 19020-2815
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Country | US
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Telephone | 215-639-4500
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Fax | 215-639-4500
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Provider Business Mailing Address
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Address Line | 3046 KNIGHTS RD
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City | BENSALEM
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State | PA
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Zip | 19020-2815
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Country | US
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Telephone | 215-639-4500
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Fax | 215-639-4500
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Authorized Official
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Title or Position | PODIATRIST
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Name | AISHA S CHAUDHRY
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Credential | DPM
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Telephone | 215-639-4500
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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 | SC006020
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License Number State | PA
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