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General NPI Number Information
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NPI Number | 1689859399
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Entity Type | Organization
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Legal Business Name | ANKLE AND FOOT SPECIALTY CLINICS
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Dates
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Enumeration Date | 01/02/2008
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Last Update Date | 07/08/2008
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Provider Practice Location Address
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Address Line | 416 WOODLAND DR
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City | SANDUSKY
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State | MI
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Zip | 48471-1047
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Country | US
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Telephone | 810-414-3338
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Fax |
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Provider Business Mailing Address
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Address Line | 416 WOODLAND DR
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City | SANDUSKY
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State | MI
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Zip | 48471-1047
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Country | US
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Telephone | 810-414-3338
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVE L SHERIDAN
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Credential | DPM
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Telephone | 810-414-3338
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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 | 5901001810
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License Number State | MI
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