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General NPI Number Information
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NPI Number | 1457222440
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Entity Type | Organization
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Legal Business Name | FAMILY FOOT AND LEG CENTER PA
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 840 111TH AVE N STE 3
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City | NAPLES
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State | FL
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Zip | 34108-1868
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Country | US
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Telephone | 239-430-3668
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Fax | 239-692-9436
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Provider Business Mailing Address
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Address Line | 730 GOODLETTE RD STE 102
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City | NAPLES
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State | FL
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Zip | 34102-5617
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Country | US
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Telephone | 239-430-3668
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Fax | 239-692-9436
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Authorized Official
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Title or Position | OWNER
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Name | KEVIN KWAN LAM
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Credential | DPM
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Telephone | 239-430-3668
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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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