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General NPI Number Information
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NPI Number | 1811950207
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Entity Type | Organization
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Legal Business Name | FOOT SURGI-CENTER OF OWINGS MILLS LLC
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Dates
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Enumeration Date | 04/08/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 25 CROSSROADS DRIVE SUITE 410
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City | OWINGS MILLS
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State | MD
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Zip | 21117
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Country | US
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Telephone | 410-363-2233
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Fax | 410-363-2235
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Provider Business Mailing Address
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Address Line | 25 CROSSROADS DRIVE SUITE 410
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City | OWINGS MILLS
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State | MD
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Zip | 21117
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Country | US
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Telephone | 410-363-2233
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Fax | 410-363-2235
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Authorized Official
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Title or Position | OWNER
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Name | ERIC L DIAMOND
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Credential | DPM
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Telephone | 410-363-2233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | A1397
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | A1397
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License Number State | MD
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