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General NPI Number Information
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NPI Number | 1689855686
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Entity Type | Organization
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Legal Business Name | RICHMOND PODIATRY, P.C.
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Dates
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Enumeration Date | 11/19/2007
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Last Update Date | 11/19/2007
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Provider Practice Location Address
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Address Line | 1201 S A ST
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City | RICHMOND
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State | IN
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Zip | 47374-5623
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Country | US
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Telephone | 765-962-3724
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 396
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City | RICHMOND
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State | IN
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Zip | 47375-0396
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Country | US
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Telephone | 765-962-3724
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Fax |
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. DEBORAH SUSAN WEHMAN
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Credential | D.P.M.
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Telephone | 765-962-3724
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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 | 07000578
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License Number State | IN
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