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General NPI Number Information
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NPI Number | 1790911261
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Entity Type | Organization
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Legal Business Name | FAMILY FOOT HEALTH CARE PLC
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Dates
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Enumeration Date | 06/10/2009
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 927 W 4TH ST
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City | WATERLOO
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State | IA
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Zip | 50702-2827
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Country | US
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Telephone | 319-233-6107
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Fax |
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Provider Business Mailing Address
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Address Line | 927 W 4TH ST
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City | WATERLOO
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State | IA
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Zip | 50702-2827
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Country | US
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Telephone | 319-233-6107
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Fax |
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Authorized Official
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Title or Position | OFFICE MGR.
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Name | PAULA DAWKINS
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Credential |
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Telephone | 319-233-6107
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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 | 00358
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License Number State | IA
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