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General NPI Number Information
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NPI Number | 1922260710
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE FOOT CARE
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Dates
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Enumeration Date | 07/02/2008
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Last Update Date | 07/02/2008
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Provider Practice Location Address
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Address Line | 10 HOSPITAL DR SUITE 306
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City | HOLYOKE
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State | MA
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Zip | 01040-6603
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Country | US
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Telephone | 413-420-0163
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Fax | 413-420-0166
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Provider Business Mailing Address
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Address Line | 10 HOSPITAL DR SUITE 306
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City | HOLYOKE
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State | MA
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Zip | 01040-6603
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Country | US
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Telephone | 413-420-0163
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Fax | 413-420-0166
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Authorized Official
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Title or Position | OWNER PODIATRIST
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Name | JOHN SWIERZEWSKI
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Credential | DPM
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Telephone | 413-420-0163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 2194
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License Number State | MA
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