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General NPI Number Information
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NPI Number | 1508937665
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Entity Type | Organization
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Legal Business Name | YUMA FOOT & ANKLE CARE, INC.
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Dates
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Enumeration Date | 11/12/2006
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Last Update Date | 10/19/2007
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Provider Practice Location Address
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Address Line | 1150 W 24TH ST SUITE D
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City | YUMA
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State | AZ
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Zip | 85364-8368
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Country | US
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Telephone | 928-726-7772
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Fax | 928-726-7742
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Provider Business Mailing Address
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Address Line | 1047 S BARDEAUX AVE
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City | YUMA
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State | AZ
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Zip | 85364-4132
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Country | US
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Telephone | 928-726-7772
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Fax | 928-726-7742
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. IRA L KAUFMAN
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Credential | DPM
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Telephone | 928-726-7772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 0402
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License Number State | AZ
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