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General NPI Number Information
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NPI Number | 1760788087
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Entity Type | Organization
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Legal Business Name | FAMILY FOOT & ANKLE CENTER, INC.
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Dates
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Enumeration Date | 02/03/2011
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Last Update Date | 02/03/2011
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Provider Practice Location Address
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Address Line | 4130 DRY RIDGE ROAD
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City | CINCINNATI
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State | OH
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Zip | 45252-0000
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Country | US
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Telephone | 513-563-6228
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Fax | 513-577-7261
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Provider Business Mailing Address
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Address Line | 10475 READING ROAD SUITE 404
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City | CINCINNATI
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State | OH
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Zip | 45241-2500
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Country | US
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Telephone | 513-563-6228
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Fax | 513-577-7261
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Authorized Official
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Title or Position | PRESIDENT
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Name | CYNTHIA D MILLER
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Credential | DPM
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Telephone | 513-563-6228
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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 | 36.003377
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License Number State | OH
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