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General NPI Number Information
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NPI Number | 1689858250
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Entity Type | Organization
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Legal Business Name | ROBERT L. FIERMAN DPM
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Dates
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Enumeration Date | 12/19/2007
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Last Update Date | 11/11/2008
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Provider Practice Location Address
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Address Line | 312 E MARKET ST
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City | WASHINGTON COURT HOUSE
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State | OH
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Zip | 43160-1481
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Country | US
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Telephone | 740-335-2530
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Fax |
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Provider Business Mailing Address
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Address Line | 312 E MARKET ST
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City | WASHINGTON COURT HOUSE
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State | OH
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Zip | 43160-1481
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Country | US
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Telephone | 740-335-2530
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT L FIERMAN
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Credential | DPM
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Telephone | 740-335-0116
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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 | 36001583
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License Number State | OH
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