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General NPI Number Information
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NPI Number | 1932156270
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Entity Type | Organization
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Legal Business Name | SOUTHWEST FOOT AND ANKLE ASSOCIATES, INC
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 09/23/2014
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Provider Practice Location Address
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Address Line | 7255 OLD OAK BLVD SUITE C308
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City | CLEVELAND
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State | OH
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Zip | 44130-3329
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Country | US
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Telephone | 440-816-2735
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Fax | 440-816-5306
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Provider Business Mailing Address
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Address Line | 7255 OLD OAK BLVD SUITE C308
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City | CLEVELAND
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State | OH
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Zip | 44130-3329
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Country | US
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Telephone | 440-816-2735
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Fax | 440-816-5306
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES R HOLFINGER
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Credential | DPM
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Telephone | 440-816-2735
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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 |
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License Number State |
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