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General NPI Number Information
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NPI Number | 1639134166
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Entity Type | Organization
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Legal Business Name | PIEDMONT PODIATRY ASSOCIATES
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 11/28/2007
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Provider Practice Location Address
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Address Line | 100 VICAR PL
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City | DANVILLE
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State | VA
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Zip | 24540-1240
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Country | US
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Telephone | 434-836-3338
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Fax | 434-836-3330
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Provider Business Mailing Address
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Address Line | 100 VICAR PL
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City | DANVILLE
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State | VA
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Zip | 24540-1240
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Country | US
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Telephone | 434-836-3338
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Fax | 434-836-3330
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL R JOYCE II
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Credential | DPM
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Telephone | 434-836-3338
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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 | 454
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License Number State | VA
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