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General NPI Number Information
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NPI Number | 1588835557
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Entity Type | Organization
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Legal Business Name | GARBER FOOT & ANKLE CLINIC
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 05/10/2011
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Provider Practice Location Address
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Address Line | 651 S RYAN ST
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City | LAKE CHARLES
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State | LA
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Zip | 70601-5726
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Country | US
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Telephone | 337-433-3338
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Fax | 337-433-3337
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Provider Business Mailing Address
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Address Line | 651 S RYAN ST
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City | LAKE CHARLES
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State | LA
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Zip | 70601-5726
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. VERNON L GARBER
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Credential | D.P.M.
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Telephone | 337-433-3338
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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 |
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License Number State |
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