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General NPI Number Information
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NPI Number | 1851324271
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Entity Type | Organization
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Legal Business Name | GREENVILLE FOOTCARE LLC
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 11/03/2011
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Provider Practice Location Address
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Address Line | 220 FORT DALE RD
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City | GREENVILLE
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State | AL
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Zip | 36037-1502
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Country | US
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Telephone | 334-382-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 220 FORT DALE RD
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City | GREENVILLE
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State | AL
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Zip | 36037-1502
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Country | US
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Telephone | 334-382-1400
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | JOYCE BIRCHFIELD
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Credential |
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Telephone | 888-745-0211
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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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