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General NPI Number Information
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NPI Number | 1548635519
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Entity Type | Organization
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Legal Business Name | ART OF PODIATRY INC
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Dates
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Enumeration Date | 12/02/2015
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Last Update Date | 10/15/2020
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Provider Practice Location Address
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Address Line | 590 REED RD STE 6
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City | BROOMALL
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State | PA
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Zip | 19008-3654
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Country | US
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Telephone | 484-472-6726
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Fax |
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Provider Business Mailing Address
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Address Line | 590 REED RD STE 6
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City | BROOMALL
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State | PA
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Zip | 19008-3654
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Country | US
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Telephone | 484-472-6726
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DANA DOBER
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Credential | DPM
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Telephone | 609-941-1943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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