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General NPI Number Information
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NPI Number | 1952852303
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Entity Type | Organization
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Legal Business Name | FIRST FEET
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Dates
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Enumeration Date | 10/20/2016
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 611 CARTHAGE ST
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City | SANFORD
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State | NC
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Zip | 27330-4106
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Country | US
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Telephone | 919-774-4527
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Fax | 919-774-5611
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Provider Business Mailing Address
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Address Line | 611 CARTHAGE ST
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City | SANFORD
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State | NC
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Zip | 27330-4106
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Country | US
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Telephone | 919-774-4527
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Fax | 919-774-5611
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Authorized Official
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Title or Position | OWNER
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Name | HOWARD STALEY
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Credential | D.P.M.
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Telephone | 919-774-4527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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