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General NPI Number Information
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NPI Number | 1972170892
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE PODIATRY LLC
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Dates
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Enumeration Date | 06/09/2021
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 107 RIDGELY AVE STE 13A
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City | ANNAPOLIS
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State | MD
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Zip | 21401-1417
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Country | US
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Telephone | 443-332-2300
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Fax | 443-332-2301
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Provider Business Mailing Address
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Address Line | 107 RIDGELY AVE STE 13A
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City | ANNAPOLIS
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State | MD
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Zip | 21401-1417
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Country | US
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Telephone | 443-332-2300
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Fax | 443-332-2301
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Authorized Official
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Title or Position | OWNER
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Name | DR. LAURA MICHETTI
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Credential | DPM
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Telephone | 484-686-8861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number |
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License Number State |
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