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General NPI Number Information
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NPI Number | 1083545677
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Entity Type | Organization
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Legal Business Name | SURESTEP FOOT & ANKLE MEDICAL CENTER LLC
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Dates
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Enumeration Date | 05/25/2026
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Last Update Date | 05/25/2026
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Provider Practice Location Address
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Address Line | 8111 CHEVIOT RD STE 100
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City | CINCINNATI
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State | OH
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Zip | 45247-4013
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Country | US
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Telephone | 513-489-2400
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Fax | 513-489-2455
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Provider Business Mailing Address
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Address Line | 11821 MASON MONTGOMERY RD UNIT 4B
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City | CINCINNATI
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State | OH
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Zip | 45249-3705
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Country | US
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Telephone | 513-489-2400
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Fax | 513-489-2455
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Authorized Official
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Title or Position | CRED MGR
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Name | THERESA M FAUVER
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Credential |
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Telephone | 440-357-8418
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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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