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General NPI Number Information
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NPI Number | 1730369968
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Entity Type | Organization
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Legal Business Name | PREFERRED FOOTCARE SPECIALISTS PC
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 10/15/2020
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Provider Practice Location Address
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Address Line | 1007 N 16TH ST
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City | NEW CASTLE
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State | IN
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Zip | 47362-4320
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Country | US
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Telephone | 765-284-4220
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Fax | 765-284-5254
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Provider Business Mailing Address
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Address Line | PO BOX 247
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City | ALBANY
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State | IN
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Zip | 47320-0247
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Country | US
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Telephone | 765-284-4220
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Fax | 765-284-5254
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. THOMAS EDWARD FREEMAN II
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Credential | DPM
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Telephone | 765-284-4220
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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 | 07000587
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License Number State | IN
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