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General NPI Number Information
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NPI Number | 1568431195
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Entity Type | Organization
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Legal Business Name | GREENWOOD PODIATRIC MEDICAL ASSOCIATES, PA
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Dates
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Enumeration Date | 03/16/2006
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Last Update Date | 07/08/2020
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Provider Practice Location Address
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Address Line | 109 VENTURE CT
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City | GREENWOOD
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State | SC
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Zip | 29649-8558
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Country | US
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Telephone | 864-223-3338
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Fax | 864-388-9855
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Provider Business Mailing Address
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Address Line | PO BOX 49489
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City | GREENWOOD
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State | SC
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Zip | 29649-0009
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Country | US
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Telephone | 864-223-3338
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Fax | 864-388-9855
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES STEPHEN ZAREMBA
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Credential | DPM
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Telephone | 864-223-3338
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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 | 509
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 508
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License Number State | SC
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