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General NPI Number Information
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NPI Number | 1982748299
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Entity Type | Organization
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Legal Business Name | GENTLE HOME FOOT CARE INC
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 04/25/2008
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Provider Practice Location Address
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Address Line | 3122 PARK MEADOW DR
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City | LAKE ORION
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State | MI
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Zip | 48362-2061
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Country | US
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Telephone | 810-690-7483
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Fax | 810-690-7483
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Provider Business Mailing Address
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Address Line | 3122 PARK MEADOW DR
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City | LAKE ORION
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State | MI
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Zip | 48362-2061
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Country | US
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Telephone | 810-690-7483
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Fax | 810-690-7483
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Authorized Official
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Title or Position | OWNER
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Name | DR. DEAN SINGER
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Credential | DPM
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Telephone | 248-393-8611
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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 | DS001654
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License Number State | MI
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