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General NPI Number Information
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NPI Number | 1871604926
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Entity Type | Organization
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Legal Business Name | GANLEY PODIATRY ASSOCIATES PC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 03/18/2013
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Provider Practice Location Address
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Address Line | 104 EGYPT RD
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City | NORRISTOWN
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State | PA
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Zip | 19403-3029
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Country | US
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Telephone | 610-631-1994
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Fax | 610-631-9383
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Provider Business Mailing Address
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Address Line | 104 EGYPT RD
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City | NORRISTOWN
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State | PA
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Zip | 19403-3029
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Country | US
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Telephone | 610-631-1994
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Fax | 610-631-9383
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Authorized Official
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Title or Position | OWNER
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Name | DR. EDWARD WILLIAM RUANE
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Credential | DPM
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Telephone | 610-631-1994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | SC003413L
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License Number State | PA
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