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General NPI Number Information
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NPI Number | 1841626983
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Entity Type | Organization
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Legal Business Name | MEDICAL AND FOOT CARE MANAGEMENT INC
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Dates
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Enumeration Date | 09/20/2013
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Last Update Date | 09/20/2013
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Provider Practice Location Address
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Address Line | 7226 W COLLEGE DR
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1145
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Country | US
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Telephone | 708-448-9300
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Fax | 708-448-9380
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Provider Business Mailing Address
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Address Line | 7226 W COLLEGE DR
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1145
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Country | US
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Telephone | 708-448-9300
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Fax | 708-448-9380
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Authorized Official
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Title or Position | MANAGER
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Name | AMAL SALAMEH
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Credential |
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Telephone | 708-448-9300
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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 |
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License Number State |
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