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General NPI Number Information
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NPI Number | 1740478130
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Entity Type | Organization
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Legal Business Name | BURLINGTON FOOT AND ANKLE CENTER
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Dates
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Enumeration Date | 10/10/2007
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Last Update Date | 12/06/2007
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Provider Practice Location Address
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Address Line | 428 ALAMANCE RD STE C
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City | BURLINGTON
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State | NC
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Zip | 27215-5500
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Country | US
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Telephone | 336-226-9919
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Fax | 336-226-9959
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Provider Business Mailing Address
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Address Line | 428 ALAMANCE RD STE C
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City | BURLINGTON
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State | NC
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Zip | 27215-5500
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Country | US
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Telephone | 336-226-9919
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Fax | 336-226-9959
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Authorized Official
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Title or Position | OWNER / DOCTOR
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Name | DR. JOHN ANDREW PETERY
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Credential | DPM
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Telephone | 336-226-9919
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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 | 409
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License Number State | NC
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