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General NPI Number Information
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NPI Number | 1801885397
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Entity Type | Individual
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Provider Name | TOM ADOLPH CORRIGAN D.P.M
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Gender | Male
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 06/04/2008
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Provider Practice Location Address
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Address Line | 15810 DETROIT AVE
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City | LAKEWOOD
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State | OH
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Zip | 44107-3711
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Country | US
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Telephone | 216-529-1800
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Fax | 216-529-3201
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Provider Business Mailing Address
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Address Line | 15810 DETROIT AVE
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City | LAKEWOOD
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State | OH
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Zip | 44107-3711
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Country | US
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Telephone | 216-529-1800
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Fax | 216-529-3201
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 36-00-3355-C
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License Number State | OH
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