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General NPI Number Information
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NPI Number | 1902090988
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Entity Type | Organization
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Legal Business Name | NORFOLK PODIATRY PC
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Dates
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Enumeration Date | 08/31/2007
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Last Update Date | 07/03/2009
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Provider Practice Location Address
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Address Line | 110 N 16TH ST STE 18
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City | NORFOLK
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State | NE
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Zip | 68701-3671
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Country | US
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Telephone | 402-371-7680
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Fax | 402-644-7245
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Provider Business Mailing Address
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Address Line | 110 N 16TH ST STE 18
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City | NORFOLK
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State | NE
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Zip | 68701-3671
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Country | US
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Telephone | 402-371-7680
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Fax | 402-644-7245
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. JENNIFER P STRAUSER
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Credential | DPM
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Telephone | 402-371-7680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 283
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License Number State | NE
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