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General NPI Number Information
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NPI Number | 1659593937
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Entity Type | Organization
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Legal Business Name | FOOT CARE INC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 01/07/2008
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Provider Practice Location Address
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Address Line | 115 E SUPERIOR STREET
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City | ALMA
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State | MI
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Zip | 48801
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Country | US
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Telephone | 989-463-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 115 E SUPERIOR STREET
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City | ALMA
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State | MI
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Zip | 48801
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KEVIN W BROWN
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Credential | CERTIFIED PEDORTHIST
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Telephone | 989-463-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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