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General NPI Number Information
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NPI Number | 1790938926
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Entity Type | Organization
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Legal Business Name | NORTHERN FOOT & ANKLE CENTERS PC
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Dates
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Enumeration Date | 10/31/2008
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Last Update Date | 02/11/2009
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Provider Practice Location Address
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Address Line | 4656 E F 41
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City | OSCODA
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State | MI
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Zip | 48750-2227
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Country | US
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Telephone | 989-354-3309
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Fax | 989-354-9190
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Provider Business Mailing Address
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Address Line | 4656 E F 41
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City | OSCODA
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State | MI
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Zip | 48750-2227
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Country | US
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Telephone | 989-354-3309
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Fax | 989-354-9190
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Authorized Official
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Title or Position | OWNER
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Name | CRAIG PILICHOWSKI
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Credential |
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Telephone | 989-354-3309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | CP001908
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License Number State |
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