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General NPI Number Information
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NPI Number | 1154498194
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Entity Type | Organization
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Legal Business Name | CENTER FOR FOOT AND ANKLE SURGERY LTD
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 654 W VETERANS PKWY STE D
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City | YORKVILLE
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State | IL
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Zip | 60560-4567
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Country | US
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Telephone | 630-553-9300
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Fax | 630-553-9306
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Provider Business Mailing Address
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Address Line | 654 W VETERANS PKWY STE D
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City | YORKVILLE
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State | IL
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Zip | 60560-4567
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Country | US
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Telephone | 630-553-9300
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Fax | 630-553-9306
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | THOMAS RAPPETTE
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Credential | DPM
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Telephone | 630-553-9300
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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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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 | IL16004810
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License Number State | IL
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