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General NPI Number Information
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NPI Number | 1861832875
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Entity Type | Organization
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Legal Business Name | TOTAL PODIATRY LLC
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Dates
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Enumeration Date | 07/05/2013
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Last Update Date | 07/05/2013
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Provider Practice Location Address
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Address Line | 8218 WISCONSIN AVE SUITE305
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City | BETHESDA
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State | MD
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Zip | 20814-3107
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Country | US
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Telephone | 703-727-8972
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Fax |
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Provider Business Mailing Address
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Address Line | 8218 WISCONSIN AVE SUITE305
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City | BETHESDA
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State | MD
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Zip | 20814-3128
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Country | US
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Telephone | 703-727-8972
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Fax |
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Authorized Official
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Title or Position | OWNER/PODIATRIST
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Name | DR. PAMELA R. SAUER
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Credential | D.P.M.
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Telephone | 703-727-8972
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 1239
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License Number State | MD
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