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General NPI Number Information
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NPI Number | 1861690810
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Entity Type | Individual
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Provider Name | NANCY VIRGINIA PRECHTL DPM
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Gender | Female
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 06/30/2021
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Provider Practice Location Address
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Address Line | 380 LOWELL ST STE 102
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City | WAKEFIELD
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State | MA
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Zip | 01880-1984
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Country | US
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Telephone | 781-224-3668
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Fax | 812-243-6677
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Provider Business Mailing Address
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Address Line | 380 LOWELL ST STE 102
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City | WAKEFIELD
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State | MA
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Zip | 01880-1984
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Country | US
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Telephone | 781-224-3668
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Fax | 817-224-3667
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2306
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 2306
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 2306
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License Number State | MA
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