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General NPI Number Information
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NPI Number | 1528257243
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Entity Type | Organization
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Legal Business Name | COMMUNITY FOOT CARE CENTER
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Dates
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Enumeration Date | 10/18/2007
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Last Update Date | 06/10/2008
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Provider Practice Location Address
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Address Line | 116 S POPLAR ST STE 5
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City | VINTON
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State | VA
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Zip | 24179-4500
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Country | US
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Telephone | 540-985-0597
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Fax | 540-985-0598
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Provider Business Mailing Address
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Address Line | 116 S POPLAR ST STE 5
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City | VINTON
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State | VA
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Zip | 24179-4500
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Country | US
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Telephone | 540-985-0597
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Fax | 540-985-0598
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVE G STEFFAN
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Credential | DPM
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Telephone | 540-985-0597
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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 | 0103000734
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License Number State | VA
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