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General NPI Number Information
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NPI Number | 1881894822
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Entity Type | Organization
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Legal Business Name | BEST FOOT & ANKLE CENTER, PC
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 10/29/2008
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Provider Practice Location Address
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Address Line | 1755 FULTON ST SUITE B
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City | ELKHART
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State | IN
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Zip | 46514-1927
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Country | US
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Telephone | 574-266-4555
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Fax | 574-266-1315
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Provider Business Mailing Address
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Address Line | 1755 FULTON ST SUITE B
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City | ELKHART
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State | IN
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Zip | 46514-1927
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Country | US
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Telephone | 574-266-4555
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Fax | 574-266-1315
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LARRY BEST
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Credential | DPM
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Telephone | 574-266-4555
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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 | 07000564
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License Number State | IN
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