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NPI 1851060867

NPI 1851060867 : FOOT & ANKLE ASSOCIATES OF GREATER PITTSBURGH LLC : BEAVER, PA

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General NPI Number Information
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    NPI Number           |    1851060867
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    Entity Type          |    Organization 
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    Legal Business Name  |    FOOT & ANKLE ASSOCIATES OF GREATER PITTSBURGH LLC 
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Dates
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    Enumeration Date     |    09/13/2021
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    Last Update Date     |    09/14/2021
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Provider Practice Location Address
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    Address Line         |    336 COLLEGE AVE 
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    City                 |    BEAVER
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    State                |    PA
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    Zip                  |    15009-2231
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    Country              |    US
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    Telephone            |    724-774-1525
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    336 COLLEGE AVE STE 106 
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    City                 |    BEAVER
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    State                |    PA
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    Zip                  |    15009-2231
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    Country              |    US
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    Telephone            |    262-914-4200
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     KRISTIN  HARPER 
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    Credential           |    DPM
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    Telephone            |    262-914-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    
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    License Number State |    
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