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General NPI Number Information
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NPI Number | 1861544645
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Entity Type | Organization
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Legal Business Name | SAMUEL QUARTEY DPM PC
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5023 SPRUCE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19139
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Country | US
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Telephone | 215-471-1407
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Fax | 215-471-6061
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Provider Business Mailing Address
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Address Line | 5023 SPRUCE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19139
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Country | US
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Telephone | 215-471-1407
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Fax | 215-471-6061
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAMUEL FERGUSON QUARTEY
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Credential | DPM
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Telephone | 215-471-1407
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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 | SC00208IL
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License Number State | PA
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