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General NPI Number Information
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NPI Number | 1144326562
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Entity Type | Organization
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Legal Business Name | FOOT AND ANKLE CENTER OF ARIZONA PC
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 11/10/2022
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Provider Practice Location Address
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Address Line | 7304 E DEER VALLEY RD STE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-7459
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Country | US
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Telephone | 480-342-9999
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Fax | 480-342-7169
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Provider Business Mailing Address
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Address Line | 7304 E DEER VALLEY RD STE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-7459
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Country | US
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Telephone | 480-342-9999
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Fax | 480-342-7169
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | KRIS DINUCCI
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Credential | DPM
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Telephone | 480-342-9999
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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 | 0643
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License Number State | AZ
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