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General NPI Number Information
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NPI Number | 1992989289
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Entity Type | Organization
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Legal Business Name | FOOT & ANKLE INSTITUTE OF THE CAROLINAS, PA
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Dates
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Enumeration Date | 12/21/2007
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 3301 SUNSET AVE
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-3521
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Country | US
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Telephone | 252-443-7114
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Fax | 252-443-7115
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Provider Business Mailing Address
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Address Line | 3301 SUNSET AVE
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-3521
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Country | US
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Telephone | 252-443-7114
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Fax | 252-443-7115
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | BEVERLY T WARREN
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Credential |
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Telephone | 252-443-7114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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