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General NPI Number Information
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NPI Number | 1437277522
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Entity Type | Organization
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Legal Business Name | ADVANCED FOOT AND ANKLE SPECIALISTS PA
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 08/21/2014
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Provider Practice Location Address
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Address Line | 1233 SE INDIAN ST STE 102
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City | STUART
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State | FL
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Zip | 34997-5689
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Country | US
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Telephone | 772-223-8313
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Fax | 772-223-8675
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Provider Business Mailing Address
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Address Line | 1233 SE INDIAN ST STE 102
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City | STUART
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State | FL
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Zip | 34997-5689
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Country | US
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Telephone | 772-223-8313
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Fax | 772-223-8675
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAY S WEINGARTEN
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Credential | DPM
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Telephone | 772-223-8313
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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 | PO000220
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License Number State | FL
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