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General NPI Number Information
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NPI Number | 1437426145
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Entity Type | Organization
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Legal Business Name | CAMAS FOOT AND ANKLE PLLC
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Dates
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Enumeration Date | 11/23/2011
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Last Update Date | 04/16/2019
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Provider Practice Location Address
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Address Line | 16701 SE MCGILLIVRAY BLVD STE 220
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City | VANCOUVER
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State | WA
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Zip | 98683-3462
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Country | US
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Telephone | 360-834-3707
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Fax | 360-834-3569
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Provider Business Mailing Address
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Address Line | 16701 SE MCGILLIVRAY BLVD STE 220
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City | VANCOUVER
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State | WA
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Zip | 98683-3462
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Country | US
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Telephone | 360-834-3707
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Fax | 360-834-3569
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Authorized Official
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Title or Position | OWNER
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Name | STEPHEN M HAYES
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Credential | DPM
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Telephone | 503-244-7894
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO00000795
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License Number State | WA
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