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General NPI Number Information
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NPI Number | 1528666971
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Entity Type | Organization
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Legal Business Name | VIRTUAL FOOT AND ANKLE CARE, LLC
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Dates
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Enumeration Date | 10/16/2020
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Last Update Date | 10/16/2020
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Provider Practice Location Address
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Address Line | 5970 DERWENT RD
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City | POWHATAN
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State | VA
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Zip | 23139-4620
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Country | US
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Telephone | 804-375-3291
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Fax |
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Provider Business Mailing Address
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Address Line | 5970 DERWENT RD
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City | POWHATAN
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State | VA
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Zip | 23139-4620
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Country | US
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Telephone | 804-375-3291
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Fax |
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Authorized Official
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Title or Position | PODIATRIST/OWNER
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Name | DR. MARK ERDMAN
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Credential | DPM
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Telephone | 804-375-3291
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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 |
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License Number State |
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