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General NPI Number Information
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NPI Number | 1912951088
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Entity Type | Organization
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Legal Business Name | ALLIED FOOT CARE, INC
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Dates
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Enumeration Date | 05/21/2006
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Last Update Date | 12/13/2018
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Provider Practice Location Address
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Address Line | 7105 HIGH POINTE LN
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City | CINCINNATI
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State | OH
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Zip | 45248-2043
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Country | US
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Telephone | 513-256-2032
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Fax | 513-407-6829
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Provider Business Mailing Address
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Address Line | 7105 HIGH POINTE LN
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City | CINCINNATI
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State | OH
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Zip | 45248-2043
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Country | US
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Telephone | 513-256-2032
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Fax | 513-407-6829
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. RONALD LEE PASTRICK
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Credential | DPM
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Telephone | 513-256-2032
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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 | 36-00-2501
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License Number State | OH
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