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General NPI Number Information
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NPI Number | 1497813430
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Entity Type | Organization
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Legal Business Name | ADVANCED FOOT AND ANKLE CENTER, PLLC
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 1121 S JEFFERSON ST
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City | ROANOKE
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State | VA
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Zip | 24016-4703
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Country | US
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Telephone | 540-343-8755
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Fax | 540-343-4885
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Provider Business Mailing Address
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Address Line | 1121 S JEFFERSON ST
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City | ROANOKE
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State | VA
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Zip | 24016-4703
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Country | US
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Telephone | 540-343-8755
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Fax | 540-343-4885
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Authorized Official
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Title or Position | DOCTOR OF PODIATRIC MEDICINE
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Name | DR. DAVID G. COX
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Credential | DPM
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Telephone | 540-343-8755
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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 | 0103300960
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License Number State | VA
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