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General NPI Number Information
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NPI Number | 1538276910
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Entity Type | Organization
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Legal Business Name | AFFILIATED PODIATRISTS PC
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 09/03/2010
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Provider Practice Location Address
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Address Line | 795 MAIN ST
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City | HOLDEN
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State | MA
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Zip | 01520-3800
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Country | US
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Telephone | 508-829-6645
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Fax | 508-829-5633
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Provider Business Mailing Address
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Address Line | 795 MAIN ST
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City | HOLDEN
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State | MA
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Zip | 01520-3800
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Country | US
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Telephone | 508-829-6645
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Fax | 508-829-5633
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRUCE T CROFT
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Credential | D.P.M
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Telephone | 508-829-6645
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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 | 1563
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License Number State | MA
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