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General NPI Number Information
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NPI Number | 1790785392
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Entity Type | Organization
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Legal Business Name | ANKLE AND FOOT ASSOCIATES
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 50 S WHITE ST
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City | BROOKVILLE
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State | PA
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Zip | 15825-2424
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Country | US
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Telephone | 814-849-2073
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Fax | 814-849-8282
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Provider Business Mailing Address
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Address Line | 73 S WHITE ST
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City | BROOKVILLE
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State | PA
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Zip | 15825-2427
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Country | US
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Telephone | 814-849-2073
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Fax | 814-849-8282
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MR. DEBBIE ANN MONKS
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Credential |
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Telephone | 814-849-2073
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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 |
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State | PA
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