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General NPI Number Information
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NPI Number | 1699202663
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Entity Type | Organization
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Legal Business Name | THE FOOT AND ANKLE CLINICS PC
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Dates
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Enumeration Date | 05/22/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 10176 W 400 N STE B
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City | MICHIGAN CITY
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State | IN
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Zip | 46360-9009
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Country | US
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Telephone | 219-809-9839
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Fax | 219-809-9841
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Provider Business Mailing Address
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Address Line | 9340 LOCHWOOD PL
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City | TINLEY PARK
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State | IL
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Zip | 60487-4797
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Country | US
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Telephone | 708-250-3869
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Fax | 219-809-9841
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Authorized Official
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Title or Position | OWNER
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Name | DR. MURAD ABDEL-QADER
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Credential | DPM
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Telephone | 708-250-3869
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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 |
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License Number State |
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Taxonomy #2
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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 #3
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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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