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General NPI Number Information
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NPI Number | 1578737466
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Entity Type | Organization
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Legal Business Name | RAY FOOT AND ANKLE CENTER
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 07/21/2009
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Provider Practice Location Address
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Address Line | 5944 ROUTE 981
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City | LATROBE
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State | PA
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Zip | 15650-2685
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Country | US
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Telephone | 724-537-9008
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Fax |
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Provider Business Mailing Address
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Address Line | 5944 ROUTE 981
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City | LATROBE
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State | PA
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Zip | 15650-2685
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Country | US
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Telephone | 724-537-9008
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JOANNE D SCHWARZ
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Credential |
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Telephone | 724-537-9008
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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 | SC004546L
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License Number State | PA
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