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General NPI Number Information
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NPI Number | 1801275201
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Entity Type | Organization
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Legal Business Name | AMERICAS BEST FOOT AND ANKLE SPECIALISTS
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Dates
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Enumeration Date | 05/19/2015
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Last Update Date | 05/28/2015
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Provider Practice Location Address
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Address Line | 1475 EAST STATE ROAD 44 SUITE 7. WHITEWATER VALLEY MEDICAL CENTER
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City | CONNERSVILLE
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State | IN
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Zip | 47331
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Country | US
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Telephone | 414-861-0526
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 126
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City | RICHMOND
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State | IN
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Zip | 47375-0126
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. TAHIR KHAN
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Credential |
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Telephone | 414-861-0526
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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 | 07001195A
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License Number State | IN
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