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General NPI Number Information
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NPI Number | 1114904935
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Entity Type | Individual
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Provider Name | DUSKY RIDEOUT FARMER D.P.M.
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Gender | Female
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 3801 BELLEMEADE AVE STE 110
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City | EVANSVILLE
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State | IN
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Zip | 47714-0111
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Country | US
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Telephone | 812-485-8390
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Fax | 812-485-5403
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Provider Business Mailing Address
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Address Line | 4501 UPPER MOUNT VERNON RD
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City | EVANSVILLE
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State | IN
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Zip | 47712-6421
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Country | US
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Telephone | 812-421-8555
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Fax | 812-402-2139
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 07000944A
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License Number State | IN
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