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General NPI Number Information
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NPI Number | 1508951302
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Entity Type | Organization
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Legal Business Name | FOOT CARE, INC.
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 1428 N STATE HIGHWAY 47 SUITE D
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City | WARRENTON
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State | MO
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Zip | 63383-1375
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Country | US
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Telephone | 636-456-3338
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Fax | 636-456-3335
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Provider Business Mailing Address
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Address Line | 1428 N STATE HIGHWAY 47 SUITE D
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City | WARRENTON
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State | MO
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Zip | 63383-1375
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Country | US
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Telephone | 636-456-3338
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Fax | 636-456-3335
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANN M SEIFERT-WILSON
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Credential | DPM
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Telephone | 636-456-3338
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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 | 000549
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License Number State | MO
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