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General NPI Number Information
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NPI Number | 1912056607
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Entity Type | Organization
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Legal Business Name | TOTAL FOOT CARE P.A.
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 02/12/2008
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Provider Practice Location Address
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Address Line | 607 W 18TH ST
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City | WILMINGTON
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State | DE
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Zip | 19802-4707
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Country | US
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Telephone | 302-652-5601
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Fax |
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Provider Business Mailing Address
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Address Line | 607 W 18TH ST
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City | WILMINGTON
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State | DE
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Zip | 19802-4707
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Country | US
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Telephone | 302-652-5601
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALEXANDER TERRIS
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Credential | DPM
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Telephone | 302-652-5601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | E1-0000086
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License Number State | DE
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