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NPI 1932370467

NPI 1932370467 : H.J. KURTZMAN DPM & ASSOCIATES LLC : MANSFIELD, OH

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General NPI Number Information
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    NPI Number           |    1932370467
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    Entity Type          |    Organization 
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    Legal Business Name  |    H.J. KURTZMAN DPM & ASSOCIATES LLC 
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Dates
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    Enumeration Date     |    03/12/2008
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    Last Update Date     |    10/09/2015
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Provider Practice Location Address
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    Address Line         |    1069 LEXINGTON AVE 
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    City                 |    MANSFIELD
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    State                |    OH
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    Zip                  |    44907-2265
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    Country              |    US
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    Telephone            |    419-756-9111
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    Fax                  |    410-756-0191
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Provider Business Mailing Address
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    Address Line         |    1069 LEXINGTON AVE 
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    City                 |    MANSFIELD
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    State                |    OH
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    Zip                  |    44907-2265
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    Country              |    US
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    Telephone            |    419-756-9111
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    Fax                  |    410-756-0191
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     H J KURTZMAN 
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    Credential           |    DPM
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    Telephone            |    419-756-9111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213EP1101X
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    Taxonomy Name        |    Primary Podiatric Medicine Podiatrist
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    License Number       |    36001677K
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    License Number State |    OH
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