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General NPI Number Information
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NPI Number | 1497850143
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Entity Type | Organization
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Legal Business Name | A PLUS FAMILY FOOT AND ANKLE CENTER
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 09/26/2013
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Provider Practice Location Address
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Address Line | 1221 S. WATER STREET SUITE A
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City | KENT
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State | OH
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Zip | 44240
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Country | US
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Telephone | 330-474-0500
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Fax | 330-474-0501
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Provider Business Mailing Address
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Address Line | 1221 S. WATER STREET SUITE A
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City | KENT
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State | OH
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Zip | 44240
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Country | US
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Telephone | 330-474-0500
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Fax | 330-474-0501
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Authorized Official
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Title or Position | OWNER
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Name | DR. HAI T PHAM
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Credential | DPM
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Telephone | 330-474-0500
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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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