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General NPI Number Information
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NPI Number | 1649781212
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Entity Type | Organization
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Legal Business Name | FAMILY FOOT AND ANKLE CARE, PC
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Dates
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Enumeration Date | 10/23/2017
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Last Update Date | 10/23/2017
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Provider Practice Location Address
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Address Line | 3334 PAPER MILL RD
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City | PHOENIX
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State | MD
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Zip | 21131-1419
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Country | US
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Telephone | 410-666-3668
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Fax | 410-666-3669
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Provider Business Mailing Address
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Address Line | 3334 PAPER MILL RD
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City | PHOENIX
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State | MD
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Zip | 21131-1419
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Country | US
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Telephone | 410-666-3668
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Fax | 410-666-3669
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Authorized Official
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Title or Position | PRESIDENT/PODIATRIST
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Name | DR. THUY-LINH DUY NGUYEN
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Credential | DPM
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Telephone | 410-666-3668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 01455
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License Number State | MD
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