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General NPI Number Information
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NPI Number | 1659490894
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Entity Type | Organization
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Legal Business Name | BAY CITY ASSOCIATES IN PODIATRY INC
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 3850 WALKER BLVD
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City | ERIE
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State | PA
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Zip | 16509-1627
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Country | US
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Telephone | 814-864-2360
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Fax | 814-864-2383
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Provider Business Mailing Address
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Address Line | 3850 WALKER BLVD
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City | ERIE
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State | PA
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Zip | 16509-1627
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Country | US
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Telephone | 814-864-2360
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Fax | 814-864-2383
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | DR. DANIEL J OLSON
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Credential | DPM
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Telephone | 814-864-2360
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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 | 213E50103X
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License Number State | PA
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