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General NPI Number Information
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NPI Number | 1861487381
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Entity Type | Organization
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Legal Business Name | ALBRIGHT FOOTCARE CENTER
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Dates
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Enumeration Date | 09/12/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 321 N 4TH ST
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City | LEWISBURG
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State | PA
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Zip | 17837-1103
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Country | US
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Telephone | 570-524-2119
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Fax | 570-524-5119
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Provider Business Mailing Address
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Address Line | 321 N 4TH ST
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City | LEWISBURG
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State | PA
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Zip | 17837-1103
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Country | US
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Telephone | 570-524-2119
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Fax | 570-524-5119
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS R ALBRIGHT
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Credential | D.P.M.
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Telephone | 570-524-2119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | SC-OO4535-L
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License Number State | PA
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