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General NPI Number Information
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NPI Number | 1427329309
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Entity Type | Organization
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Legal Business Name | FOREST FOOT AND ANKLE CENTER
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Dates
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Enumeration Date | 01/24/2012
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Last Update Date | 01/24/2012
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Provider Practice Location Address
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Address Line | 1084 THOMAS JEFFERSON RD SUITE 1
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City | FOREST
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State | VA
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Zip | 24551-2298
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Country | US
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Telephone | 434-616-2000
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Fax | 434-616-2002
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Provider Business Mailing Address
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Address Line | 1084 THOMAS JEFFERSON RD SUITE 1
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City | FOREST
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State | VA
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Zip | 24551-2298
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Country | US
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Telephone | 434-616-2000
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Fax | 434-616-2002
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAVID GENE COX
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Credential | DPM
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Telephone | 434-616-2000
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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 | 0103300960
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License Number State | VA
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