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General NPI Number Information
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NPI Number | 1750723227
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Entity Type | Organization
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Legal Business Name | FAMILY FOOT AND ANKLE SOLUTIONS INC
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Dates
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Enumeration Date | 07/24/2013
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Last Update Date | 07/24/2013
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Provider Practice Location Address
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Address Line | 34921 US HIGHWAY 19 N STE 400
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City | PALM HARBOR
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State | FL
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Zip | 34684-1970
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Country | US
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Telephone | 727-785-8338
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Fax |
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Provider Business Mailing Address
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Address Line | 34921 US HIGHWAY 19 N STE 400
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City | PALM HARBOR
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State | FL
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Zip | 34684-1970
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Country | US
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Telephone | 727-785-8338
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Fax |
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. GEORGE F WILLIAMS IV
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Credential | DPM
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Telephone | 727-785-8338
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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 | PO3050
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License Number State | FL
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