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General NPI Number Information
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NPI Number | 1780864249
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Entity Type | Organization
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Legal Business Name | STERLING FAMILY FOOT CARE PC
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 05/06/2011
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Provider Practice Location Address
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Address Line | 43330 MOUND RD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48314-2022
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Country | US
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Telephone | 586-323-3668
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Fax | 586-323-4120
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Provider Business Mailing Address
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Address Line | 43330 MOUND RD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48314-2022
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Country | US
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Telephone | 586-323-3668
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Fax | 586-323-4120
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY ALAN SOLWAY
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Credential | DPM
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Telephone | 586-323-3668
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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 | JS001142
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License Number State | MI
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