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General NPI Number Information
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NPI Number | 1437278488
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Entity Type | Organization
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Legal Business Name | PODIATRY ASSOCIATES PA LOW COUNTRY FOOT & ANKLE INSTITUTE INC
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 1084 RIBAUT RD STE A
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City | BEAUFORT
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State | SC
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Zip | 29902-5494
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Country | US
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Telephone | 843-524-0232
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Fax | 843-524-3323
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Provider Business Mailing Address
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Address Line | 1084 RIBAUT RD STE A
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City | BEAUFORT
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State | SC
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Zip | 29902-5497
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Country | US
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Telephone | 843-524-0232
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Fax | 843-524-3323
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Authorized Official
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Title or Position | INSURANCE OFFICER
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Name | DR. TRENTON K STATLER
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Credential | DPM
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Telephone | 843-524-0232
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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 | 007222542
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License Number State | SC
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