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General NPI Number Information
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NPI Number | 1548754930
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Entity Type | Individual
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Provider Name | MAGDY ISSA DPM
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Gender | Male
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Dates
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Enumeration Date | 06/19/2018
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 508 MEETING ST
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-7535
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Country | US
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Telephone | 727-796-6900
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Fax | 727-669-8417
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Provider Business Mailing Address
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Address Line | 15114 TORRENCE BRANCH RD
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City | CHARLOTTE
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State | NC
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Zip | 28278-5829
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Country | US
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Telephone | 515-745-3469
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Fax | 606-218-7506
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 283676
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 768
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 759
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License Number State | NC
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