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General NPI Number Information
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NPI Number | 1598946832
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Entity Type | Organization
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Legal Business Name | DANIEL C. DUFFY, DPM, INC
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Dates
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Enumeration Date | 11/15/2007
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Last Update Date | 02/25/2008
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Provider Practice Location Address
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Address Line | 445 GRISWOLD RD
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City | ELYRIA
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State | OH
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Zip | 44035-2304
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Country | US
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Telephone | 440-282-1221
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Fax | 440-960-0010
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Provider Business Mailing Address
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Address Line | 1740 COOPER FOSTER PARK RD W
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City | LORAIN
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State | OH
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Zip | 44053-4201
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Country | US
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Telephone | 440-282-1221
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Fax | 440-960-0010
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MARYJO DUFFY
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Credential |
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Telephone | 440-282-1221
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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 | 36-00-1892D
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License Number State | OH
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