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General NPI Number Information
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NPI Number | 1669509360
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Entity Type | Organization
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Legal Business Name | ALL FOOT CARE, PA
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 03/26/2019
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Provider Practice Location Address
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Address Line | 1050 S PEACE HAVEN RD
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City | WINSTON SALEM
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State | NC
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Zip | 27103-9788
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Country | US
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Telephone | 336-766-3338
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Fax | 336-766-3990
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Provider Business Mailing Address
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Address Line | 1050 S PEACE HAVEN RD
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City | WINSTON SALEM
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State | NC
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Zip | 27103-9788
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Country | US
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Telephone | 336-766-3338
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Fax | 336-766-3990
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT C WINGATE
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Credential | DPM
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Telephone | 336-766-3338
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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