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General NPI Number Information
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NPI Number | 1447471669
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Entity Type | Organization
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Legal Business Name | WENDY W. WEBSTER DPM,PC
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 03/17/2009
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Provider Practice Location Address
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Address Line | 19933 LIVERNOIS AVE STE B
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City | DETROIT
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State | MI
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Zip | 48221-1234
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Country | US
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Telephone | 313-864-0740
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Fax | 313-864-0741
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Provider Business Mailing Address
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Address Line | 19207 SCHAEFER HWY
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City | DETROIT
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State | MI
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Zip | 48235-1273
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Country | US
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Telephone | 313-864-0740
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Fax | 313-864-0741
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Authorized Official
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Title or Position | OWNER
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Name | DR. WENDY W WEBSTER
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Credential | DPM
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Telephone | 313-864-0740
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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 |
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License Number State |
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