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General NPI Number Information
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NPI Number | 1649465261
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Entity Type | Organization
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Legal Business Name | MARKHAM FOOT &ANKLE CLINIC
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 08/24/2011
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Provider Practice Location Address
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Address Line | 1215 ANNAPOLIS RD SUITE 104
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City | ODENTON
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State | MD
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Zip | 21113-1344
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Country | US
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Telephone | 410-672-0464
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Fax | 410-551-4710
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Provider Business Mailing Address
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Address Line | 1215 ANNAPOLIS ROAD SUITE 104
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City | ODENTON
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State | MD
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Zip | 21113
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Country | US
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Telephone | 410-672-0464
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Fax | 410-551-4710
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHARLES FRANK MARKHAM
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Credential | D.P.M.
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Telephone | 410-672-0464
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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 | 01399
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License Number State | MD
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