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General NPI Number Information
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NPI Number | 1942450127
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE FOOT & ANKLE HEALTH, P.C.
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Dates
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Enumeration Date | 09/24/2008
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Last Update Date | 09/24/2008
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Provider Practice Location Address
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Address Line | 51215 ARIANA CT
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City | MACOMB
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State | MI
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Zip | 48042-6054
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Country | US
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Telephone | 313-333-4428
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Fax | 586-781-0236
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Provider Business Mailing Address
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Address Line | 51215 ARIANA CT
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City | MACOMB
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State | MI
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Zip | 48042-6054
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Country | US
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Telephone | 313-333-4428
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Fax | 586-781-0236
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Authorized Official
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Title or Position | D.P.M.
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Name | ANMY TRAN
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Credential |
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Telephone | 313-333-4428
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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 | AT5901001910
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License Number State | MI
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