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General NPI Number Information
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NPI Number | 1730247248
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Entity Type | Organization
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Legal Business Name | FOOT SPECIALISTS OF GREATER CINCINNATI
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 520 VIOLET ROAD CRITTENDEN MEDICAL OFFICE BLDG
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City | CRITTENDEN
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State | KY
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Zip | 41030
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Country | US
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Telephone | 859-341-9900
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Fax | 859-341-1649
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Provider Business Mailing Address
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Address Line | 2865 CHANCELLOR DRIVE SUITE 205
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City | CRESTVIEW HILLS
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State | KY
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Zip | 41017-3931
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Country | US
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Telephone | 859-341-9900
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Fax | 859-341-1649
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHARLES M TIRONE
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Credential | DPM
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Telephone | 859-341-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number |
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License Number State |
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