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General NPI Number Information
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NPI Number | 1881148880
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Entity Type | Organization
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Legal Business Name | CENTER FOR FOOT & ANKLE CARE INC
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Dates
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Enumeration Date | 08/08/2016
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 165 VANN ST NE
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City | MARIETTA
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State | GA
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Zip | 30060-7249
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Country | US
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Telephone | 770-434-7078
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Fax | 770-984-0303
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Provider Business Mailing Address
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Address Line | 165 VANN ST NE
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City | MARIETTA
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State | GA
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Zip | 30060-7249
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Country | US
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Telephone | 770-434-7078
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Fax | 770-984-0303
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Authorized Official
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Title or Position | PRACTICING OWNER
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Name | DR. NATHAN H SCHWARTZ
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Credential | DPM
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Telephone | 770-434-7078
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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 | POD0000400
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License Number State | GA
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