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General NPI Number Information
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NPI Number | 1457450702
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Entity Type | Organization
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Legal Business Name | MOBILE FOOT CARE PC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 301 LAKE MEADOW DR
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City | WATERFORD
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State | MI
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Zip | 48327-1785
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Country | US
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Telephone | 313-565-2111
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Fax | 313-565-0944
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Provider Business Mailing Address
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Address Line | PO BOX 337
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City | HARTLAND
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State | MI
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Zip | 48353
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Country | US
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Telephone | 517-548-4738
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Fax | 517-548-4752
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Authorized Official
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Title or Position | OWNER
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Name | RAJEEV SEHGAL
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Credential | DPM
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Telephone | 313-565-2111
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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 | 5901001763
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License Number State | MI
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