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General NPI Number Information
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NPI Number | 1528330420
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Entity Type | Organization
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Legal Business Name | GREAT LAKES FOOT CARE P.C.
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Dates
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Enumeration Date | 02/07/2012
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Last Update Date | 03/21/2012
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Provider Practice Location Address
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Address Line | 1701 BALDWIN AVE B
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City | PONTIAC
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State | MI
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Zip | 48340-3412
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Country | US
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Telephone | 248-338-3668
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Fax | 248-338-0136
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Provider Business Mailing Address
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Address Line | 1701 BALDWIN AVE B
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City | PONTIAC
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State | MI
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Zip | 48340-3412
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Country | US
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Telephone | 248-338-3668
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Fax | 248-338-0136
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN BINDER
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Credential | DPM
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Telephone | 248-338-3668
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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 | 5901001138
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License Number State | MI
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