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General NPI Number Information
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NPI Number | 1477791242
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Entity Type | Organization
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Legal Business Name | DESSELB FOOT & ANKLE CENTER
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Dates
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Enumeration Date | 01/31/2009
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Last Update Date | 02/18/2011
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Provider Practice Location Address
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Address Line | 13823 OUTLET DR
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City | SILVER SPRING
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State | MD
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Zip | 20904-4971
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Country | US
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Telephone | 301-890-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 14501 ANSTED RD
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City | SILVER SPRING
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State | MD
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Zip | 20905-4412
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Country | US
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Telephone | 301-384-0447
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MILDRED ELLEN SARTEE
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Credential | DPM
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Telephone | 240-425-2407
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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 | 01468
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License Number State | MD
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