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General NPI Number Information
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NPI Number | 1861836447
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Entity Type | Organization
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Legal Business Name | REZNICK WOLF & ASSOCIATES P C
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Dates
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Enumeration Date | 04/25/2013
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Last Update Date | 04/30/2013
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Provider Practice Location Address
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Address Line | 1200 S MAIN ST STE 3
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City | CHELSEA
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State | MI
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Zip | 48118-1423
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Country | US
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Telephone | 734-475-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 S MAIN ST STE 3
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City | CHELSEA
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State | MI
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Zip | 48118-1423
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Country | US
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Telephone | 734-475-1200
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Fax |
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Authorized Official
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Title or Position | PODIATRIST/PRESIDENT
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Name | DR. DANIEL FRANKLIN REZNICK
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Credential | DPM
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Telephone | 734-475-1200
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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 | 5901001835
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License Number State | MI
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