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General NPI Number Information
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NPI Number | 1861034878
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Entity Type | Organization
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Legal Business Name | FOOT AND ANKLE SPECIALISTS OF CENTRAL PA, P.C.
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Dates
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Enumeration Date | 10/10/2019
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Last Update Date | 10/10/2019
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Provider Practice Location Address
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Address Line | 4 FLOWERS DR
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City | MECHANICSBURG
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State | PA
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Zip | 17050-1709
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Country | US
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Telephone | 215-205-6973
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Fax |
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Provider Business Mailing Address
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Address Line | 4 FLOWERS DR
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City | MECHANICSBURG
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State | PA
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Zip | 17050-1709
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TERRY H CLARKE
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Credential |
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Telephone | 717-620-8225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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