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General NPI Number Information
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NPI Number | 1962844845
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Entity Type | Organization
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Legal Business Name | WEBB FOOT AND ANKLE CLINIC PC
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Dates
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Enumeration Date | 07/22/2013
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Last Update Date | 02/26/2014
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Provider Practice Location Address
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Address Line | 811 MIDDLE CREEK RD
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City | SEVIERVILLE
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State | TN
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Zip | 37862-5018
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Country | US
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Telephone | 865-774-2292
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Fax | 865-774-2243
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Provider Business Mailing Address
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Address Line | 811 MIDDLE CREEK RD
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City | SEVIERVILLE
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State | TN
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Zip | 37862-5018
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Country | US
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Telephone | 865-774-2292
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Fax | 865-774-2243
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MICHAEL C WEBB
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Credential | D.P.M.
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Telephone | 865-774-2292
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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 | DMP624
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License Number State | TN
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