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General NPI Number Information
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NPI Number | 1437906591
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Entity Type | Organization
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Legal Business Name | MEDCARE FOOT & ANKLE SPECIALISTS PLLC
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Dates
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Enumeration Date | 05/06/2024
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 9023 JEANS GROVE LN
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-2678
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Country | US
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Telephone | 540-850-5985
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Fax |
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Provider Business Mailing Address
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Address Line | 9023 JEANS GROVE LN
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-2678
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Country | US
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Telephone | 540-850-5985
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Fax |
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Authorized Official
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Title or Position | CONTRACTOR
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Name | MR. CALVIN SYDNOR
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Credential |
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Telephone | 757-952-7451
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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 |
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