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General NPI Number Information
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NPI Number | 1942315171
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Entity Type | Organization
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Legal Business Name | SEBRING PODIATRY CENTER INC
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 02/16/2012
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Provider Practice Location Address
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Address Line | 6801 US HIGHWAY 27 N STE D3
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City | SEBRING
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State | FL
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Zip | 33870-7840
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Country | US
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Telephone | 863-314-8600
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Fax | 863-314-8556
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Provider Business Mailing Address
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Address Line | 6801 US HIGHWAY 27 N STE D3
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City | SEBRING
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State | FL
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Zip | 33870-7840
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Country | US
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Telephone | 863-314-8600
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Fax | 863-314-8556
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. DALE C ANDERSON
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Credential | D.P.M.
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Telephone | 863-314-8600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | PO2915
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License Number State | FL
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