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General NPI Number Information
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NPI Number | 1558387126
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Entity Type | Organization
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Legal Business Name | IRA DEMING, D.P.M.
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 8201 16TH ST #119
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City | SILVER SPRING
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State | MD
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Zip | 20910-3240
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Country | US
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Telephone | 301-589-5144
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Fax | 301-565-3042
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Provider Business Mailing Address
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Address Line | 8201 16TH ST #119
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City | SILVER SPRING
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State | MD
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Zip | 20910-3240
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Country | US
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Telephone | 301-589-5144
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Fax | 301-565-3042
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Authorized Official
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Title or Position | OWNER
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Name | IRA MICHAEL DEMING
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Credential | D.P.M.
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Telephone | 301-589-5144
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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 | 00914
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License Number State | MD
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