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General NPI Number Information
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NPI Number | 1538119755
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Entity Type | Organization
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Legal Business Name | SEYMOUR FOOT & ANKLE CENTER, PC
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 501 S WHITE ST SUITE 27
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City | MT PLEASANT
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State | IA
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Zip | 52641-2600
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Country | US
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Telephone | 319-385-6756
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Fax | 319-385-6759
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Provider Business Mailing Address
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Address Line | 501 S WHITE ST SUITE 27
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City | MT PLEASANT
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State | IA
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Zip | 52641-2600
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Country | US
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Telephone | 319-385-6756
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Fax | 319-385-6759
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Authorized Official
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Title or Position | OWNER
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Name | TIFFANY A HAUPTMAN
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Credential | DPM
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Telephone | 319-385-6756
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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 |
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License Number State |
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