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General NPI Number Information
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NPI Number | 1437292141
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Entity Type | Organization
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Legal Business Name | GENEVA FOOT & ANKLE ASSOCIATES, P.C.
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1705 SOUTH ST STE A
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City | GENEVA
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State | IL
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Zip | 60134-2583
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Country | US
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Telephone | 630-208-0202
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Fax | 630-208-8341
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Provider Business Mailing Address
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Address Line | 1705 SOUTH ST STE A
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City | GENEVA
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State | IL
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Zip | 60134-2583
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Country | US
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Telephone | 630-208-0202
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Fax | 630-208-8341
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. PETER C TSANG
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Credential | D.P.M.
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Telephone | 630-208-0202
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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 | IL
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