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General NPI Number Information
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NPI Number | 1548208218
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Entity Type | Organization
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Legal Business Name | ANKLE & FOOT SURGICAL ASSOCIATES, INC.
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 1650 HUNTINGDON PIKE SUITE 105
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City | MEADOWBROOK
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State | PA
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Zip | 19046-8004
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Country | US
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Telephone | 215-947-9338
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Fax | 215-947-8407
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Provider Business Mailing Address
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Address Line | 1650 HUNTINGDON PIKE SUITE 105
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City | MEADOWBROOK
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State | PA
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Zip | 19046-8004
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Country | US
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Telephone | 215-947-9338
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Fax | 215-947-8407
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EDWARD J. PELLECCHIA
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Credential | D.P.M.
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Telephone | 215-947-9338
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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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