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General NPI Number Information
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NPI Number | 1659444917
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Entity Type | Organization
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Legal Business Name | SALINA FOOT CLINIC, P.A.
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 05/16/2008
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Provider Practice Location Address
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Address Line | 1529 E IRON AVE
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City | SALINA
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State | KS
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Zip | 67401-3235
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Country | US
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Telephone | 785-825-2900
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Fax | 785-825-2839
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Provider Business Mailing Address
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Address Line | 1529 E IRON AVE
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City | SALINA
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State | KS
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Zip | 67401-3235
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Country | US
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Telephone | 785-825-2900
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Fax | 785-825-2839
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Authorized Official
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Title or Position | INSURANCE CLERK
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Name | TRACIE L BREDFELDT
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Credential |
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Telephone | 785-825-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 1200240
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License Number State | KS
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