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General NPI Number Information
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NPI Number | 1932647617
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Entity Type | Organization
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Legal Business Name | GENESIS FOOT AND ANKLE INSTITUTE, INC.
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Dates
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Enumeration Date | 02/02/2017
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Last Update Date | 02/02/2017
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Provider Practice Location Address
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Address Line | 4601 N CONGRESS AVE SUITE 101
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-3228
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Country | US
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Telephone | 561-907-7631
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Fax |
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Provider Business Mailing Address
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Address Line | 4615 CAPITAL DR
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City | LAKE WORTH
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State | FL
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Zip | 33463-8184
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / PHYSICIAN
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Name | KARL MICHEL
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Credential | DPM
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Telephone | 786-246-8562
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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 |
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License Number State | FL
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