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General NPI Number Information
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NPI Number | 1720230485
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Entity Type | Organization
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Legal Business Name | FAMILY FOOT & ANKLE OF STUART PL
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Dates
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Enumeration Date | 10/14/2008
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Last Update Date | 06/02/2009
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Provider Practice Location Address
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Address Line | 2220 SE OCEAN BLVD SUITE 201
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City | STUART
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State | FL
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Zip | 34996-3308
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Country | US
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Telephone | 772-221-1193
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Fax | 772-221-1152
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Provider Business Mailing Address
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Address Line | 2220 SE OCEAN BLVD SUITE 201
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City | STUART
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State | FL
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Zip | 34996-3308
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Country | US
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Telephone | 772-221-1193
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Fax | 772-221-1152
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. PAUL R SCHOPPE
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Credential | DPM
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Telephone | 772-221-1193
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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 | PO2822
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License Number State | FL
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