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General NPI Number Information
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NPI Number | 1730512617
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Entity Type | Organization
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Legal Business Name | ONE STEP AHEAD PODIATRY
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Dates
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Enumeration Date | 08/15/2013
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Last Update Date | 08/15/2013
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Provider Practice Location Address
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Address Line | 30 SE 7TH ST
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City | BOCA RATON
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State | FL
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Zip | 33432-6134
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Country | US
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Telephone | 561-702-1139
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Fax |
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Provider Business Mailing Address
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Address Line | 3184 N GREENLEAF CIR
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-8664
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Country | US
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Telephone | 561-702-1139
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/MANAGER
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Name | DR. MARTHA HOLZWORTH
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Credential | DPM
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Telephone | 561-702-1139
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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 | PO3595
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License Number State | FL
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