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General NPI Number Information
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NPI Number | 1841349438
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Entity Type | Organization
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Legal Business Name | FRANKFORD PODIATRY ASSOCIATES, PC
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 11/15/2010
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Provider Practice Location Address
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Address Line | 1546 PRATT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19124-1923
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Country | US
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Telephone | 215-533-8555
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Fax | 215-533-8656
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Provider Business Mailing Address
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Address Line | 1546 PRATT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19124-1923
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Country | US
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Telephone | 215-533-8555
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Fax | 215-533-8656
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KETAN H KOTHARI
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Credential | D.P.M.
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Telephone | 215-533-8555
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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 |
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License Number State | PA
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