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General NPI Number Information
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NPI Number | 1598985830
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Entity Type | Organization
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Legal Business Name | AFP PODIATRY LTD
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Dates
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Enumeration Date | 04/27/2007
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Last Update Date | 11/11/2015
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Provider Practice Location Address
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Address Line | 825 N ROSELLE RD
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City | ROSELLE
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State | IL
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Zip | 60172-4212
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Country | US
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Telephone | 630-582-1100
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Fax | 630-582-1165
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Provider Business Mailing Address
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Address Line | PO BOX 72116
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City | ROSELLE
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State | IL
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Zip | 60172-0116
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Country | US
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Telephone | 630-582-1100
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Fax | 630-582-1165
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PHILIP FORNI
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Credential | DPM
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Telephone | 630-582-1100
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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 | 162960
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License Number State | IL
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