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General NPI Number Information
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NPI Number | 1649365057
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Entity Type | Organization
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Legal Business Name | NEUHAUS FOOT AND ANKLE, PC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 300 STONECREST BLVD SUITE 350
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City | SMYRNA
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State | TN
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Zip | 37167-5688
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Country | US
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Telephone | 615-220-8788
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Fax | 615-768-7881
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Provider Business Mailing Address
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Address Line | 300 STONECREST BLVD SUITE 350
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City | SMYRNA
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State | TN
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Zip | 37167-5688
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Country | US
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Telephone | 615-220-8788
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Fax | 615-768-7881
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Authorized Official
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Title or Position | PHYSICIAN SOLE PROPRIETOR
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Name | DR. MATTHEW D NEUHAUS
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Credential | DPM
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Telephone | 615-220-8788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | DPM609
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License Number State | TN
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