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General NPI Number Information
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NPI Number | 1942474036
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Entity Type | Organization
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Legal Business Name | FOREST VIEW PODIATRY CENTER
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Dates
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Enumeration Date | 04/18/2008
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Last Update Date | 12/11/2009
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Provider Practice Location Address
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Address Line | 1760 W ALGONQUIN RD
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60192-1573
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Country | US
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Telephone | 847-991-3111
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Fax |
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Provider Business Mailing Address
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Address Line | 1760 W ALGONQUIN RD
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60192-1573
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Country | US
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Telephone | 847-991-3111
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Fax |
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. WILLIAM ALBERT MOHS
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Credential | DPM FACFAS
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Telephone | 847-991-3111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0000X
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Taxonomy Name | Sports Medicine Podiatrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 16-002796
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License Number State | IL
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