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General NPI Number Information
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NPI Number | 1558634170
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Entity Type | Organization
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Legal Business Name | FOOT CLINIC OF DOTHAN, INC.
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Dates
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Enumeration Date | 02/13/2012
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Last Update Date | 08/08/2013
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Provider Practice Location Address
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Address Line | 1785 E MAIN ST SUITE 3
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City | DOTHAN
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State | AL
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Zip | 36301-3036
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Country | US
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Telephone | 334-793-6803
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Fax | 334-793-6803
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Provider Business Mailing Address
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Address Line | 1785 E MAIN ST SUITE 3
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City | DOTHAN
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State | AL
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Zip | 36301-3036
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Country | US
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Telephone | 334-793-6803
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Fax | 334-793-6803
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Authorized Official
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Title or Position | OWNER/OPERATING PODIATRIST
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Name | DR. STEFAN BARRY ZWEIG
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Credential | D.P.M.
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Telephone | 334-793-6803
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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 | 98
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License Number State | AL
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