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General NPI Number Information
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NPI Number | 1861541237
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Entity Type | Organization
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Legal Business Name | TOTALLY FEET INC
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 09/24/2013
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Provider Practice Location Address
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Address Line | 8753 YATES DR SUITE 110
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City | WESTMINSTER
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State | CO
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Zip | 80031-6947
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Country | US
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Telephone | 720-980-3668
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Fax | 303-934-5446
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Provider Business Mailing Address
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Address Line | 8753 YATES DR SUITE 110
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City | WESTMINSTER
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State | CO
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Zip | 80031-6947
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Country | US
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Telephone | 720-980-3668
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Fax | 303-934-5446
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Authorized Official
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Title or Position | OWNER
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Name | DR. TERRY LEROY OEHLER
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Credential | D.P.M.
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Telephone | 720-980-3668
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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 | 579
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License Number State | CO
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