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General NPI Number Information
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NPI Number | 1902015662
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Entity Type | Organization
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Legal Business Name | FOOT AND ANKLE SPECIALISTS OF CT,P.C.
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 10/25/2019
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Provider Practice Location Address
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Address Line | 9 COTS ST
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City | SHELTON
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State | CT
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Zip | 06484-3866
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Country | US
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Telephone | 203-924-4747
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Fax |
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Provider Business Mailing Address
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Address Line | 9 COTS ST
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City | SHELTON
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State | CT
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Zip | 06484-3866
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Country | US
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Telephone | 203-924-4747
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID G SHARNOFF
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Credential | DPM
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Telephone | 203-924-4747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 000184
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License Number State | CT
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