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General NPI Number Information
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NPI Number | 1104739119
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Entity Type | Organization
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Legal Business Name | FOOT AND ANKLE CENTER OF THE ROCKIES LLC
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 1202 CLEVELAND AVE
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City | CHEYENNE
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State | WY
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Zip | 82001-6700
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Country | US
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Telephone | 307-632-1657
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 844327
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City | LOS ANGELES
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State | CA
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Zip | 90084-4327
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CMO
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Name | ANNA K WEBER
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Credential |
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Telephone | 303-321-4477
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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