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General NPI Number Information
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NPI Number | 1770737801
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Entity Type | Organization
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Legal Business Name | ADVANCED FOOT SURGEONS, INC.
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Dates
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Enumeration Date | 11/17/2008
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Last Update Date | 11/17/2008
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Provider Practice Location Address
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Address Line | 4342 GALLIA ST SUITE A
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City | NEW BOSTON
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State | OH
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Zip | 45662-5562
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Country | US
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Telephone | 740-456-5700
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Fax | 740-456-5711
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Provider Business Mailing Address
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Address Line | 4342 GALLIA ST SUITE A
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City | NEW BOSTON
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State | OH
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Zip | 45662-5562
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Country | US
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Telephone | 740-456-5700
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Fax | 740-456-5711
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Authorized Official
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Title or Position | OWNER
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Name | JEFFREY S. SCHUSSLER
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Credential | DPM
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Telephone | 513-535-3338
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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 | 360022515
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License Number State | OH
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