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General NPI Number Information
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NPI Number | 1902621634
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Entity Type | Organization
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Legal Business Name | AFFORDABLE PODIATRY - A STEP AHEAD LLC
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 5901 AIRPORT BLVD STE 102
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City | MOBILE
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State | AL
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Zip | 36608-3169
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Country | US
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Telephone | 251-654-4444
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Fax | 251-287-7993
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Provider Business Mailing Address
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Address Line | 5901 AIRPORT BLVD STE 102
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City | MOBILE
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State | AL
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Zip | 36608-3169
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Country | US
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Telephone | 251-654-4444
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Fax | 251-287-7993
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Authorized Official
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Title or Position | CEO
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Name | STUART J ALTER
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Credential | DO
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Telephone | 251-654-4444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number |
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License Number State |
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