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General NPI Number Information
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NPI Number | 1730305962
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE FOOT & ANKLE, SC
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 12/22/2010
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Provider Practice Location Address
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Address Line | 415 ELLIS AVE
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City | ASHLAND
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State | WI
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Zip | 54806-1631
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Country | US
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Telephone | 715-634-9023
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Fax | 715-634-9935
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Provider Business Mailing Address
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Address Line | 10640 HAYWARD CT
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City | HAYWARD
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State | WI
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Zip | 54843-6456
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Country | US
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Telephone | 715-634-9023
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Fax | 715-634-9935
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. CINDY G SCHMID
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Credential |
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Telephone | 715-634-9023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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