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General NPI Number Information
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NPI Number | 1881156297
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Entity Type | Organization
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Legal Business Name | CHARLOTTE COUNTY FOOT AND ANKLE
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Dates
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Enumeration Date | 04/03/2019
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Last Update Date | 06/14/2019
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Provider Practice Location Address
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Address Line | 100 MADRID BLVD # B312
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City | PUNTA GORDA
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State | FL
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Zip | 33950-7968
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Country | US
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Telephone | 941-629-3535
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Fax | 941-625-2076
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Provider Business Mailing Address
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Address Line | 2271 NW 171ST TER
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2053
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Country | US
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Telephone | 954-559-6340
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JIM FRANCOIS
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Credential | DPM
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Telephone | 954-559-6340
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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 |
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License Number State |
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