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General NPI Number Information
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NPI Number | 1699772822
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN FOOT & ANKLE CARE INC
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Dates
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Enumeration Date | 07/01/2005
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 1250 YOUNGSTOWN WARREN RD UNIT 1A
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City | NILES
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State | OH
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Zip | 44446-4649
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Country | US
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Telephone | 330-544-4141
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Fax | 330-544-4134
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Provider Business Mailing Address
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Address Line | 1250 YOUNGSTOWN WARREN RD UNIT 1A
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City | NILES
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State | OH
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Zip | 44446-4649
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Country | US
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Telephone | 330-544-4141
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Fax | 330-544-4134
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY TODD MOLINARO
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Credential | DPM, FACFAS
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Telephone | 330-544-4141
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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 | 36002787M
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License Number State | OH
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