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General NPI Number Information
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NPI Number | 1649200502
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Entity Type | Individual
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Provider Name | DAMON PAYTON DPM
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Gender | Male
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 02/05/2020
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Provider Practice Location Address
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Address Line | 2175 ORLEANS LN
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City | FLORISSANT
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State | MO
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Zip | 63031-2111
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Country | US
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Telephone | 646-623-0120
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Fax | 314-480-7162
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Provider Business Mailing Address
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Address Line | 2175 ORLEANS LN
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City | FLORISSANT
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State | MO
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Zip | 63031-2111
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Country | US
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Telephone | 646-623-0120
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Fax | 314-480-7162
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 16005263
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 6057
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 2006013232
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License Number State | MO
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