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General NPI Number Information
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NPI Number | 1568160091
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Entity Type | Organization
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Legal Business Name | ARIA PODIATRY CARE PLLC
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Dates
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Enumeration Date | 02/23/2023
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 1280 HENLEY RD
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City | MIDDLEBURG
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State | FL
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Zip | 32068-7886
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Country | US
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Telephone | 904-600-3798
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Fax |
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Provider Business Mailing Address
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Address Line | 8500 W 110TH ST STE 450
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City | OVERLAND PARK
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State | KS
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Zip | 66210-4029
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Country | US
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Telephone | 877-674-1211
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Fax | 913-213-5722
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Authorized Official
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Title or Position | CCO
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Name | JOHN ROSENBAUM
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Credential |
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Telephone | 913-647-7926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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