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General NPI Number Information
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NPI Number | 1689862989
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Entity Type | Organization
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Legal Business Name | THE FOOT CENTER
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 07/09/2010
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Provider Practice Location Address
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Address Line | 1840 SOUTH STREET LOWER LEVEL PENN MEDICINE AT RITTENHOUSE
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City | PHILA
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State | PA
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Zip | 19146-8405
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Country | US
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Telephone | 215-732-0200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 290
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City | GLADWYNE
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State | PA
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Zip | 19035-0290
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Country | US
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Telephone | 215-732-0200
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EDWARD L CHAIRMAN
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Credential | M.D
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Telephone | 215-732-0200
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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 | SC001337L
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License Number State | PA
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