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General NPI Number Information
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NPI Number | 1184540254
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Entity Type | Organization
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Legal Business Name | HAPPY FEET PODIATRY LLC
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 107 W COMMERCIAL ST
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City | KAHOKA
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State | MO
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Zip | 63445-1411
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Country | US
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Telephone | 660-727-6890
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Fax | 660-727-6249
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Provider Business Mailing Address
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Address Line | PO BOX 38
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City | KAHOKA
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State | MO
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Zip | 63445-0038
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Country | US
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Telephone | 660-727-6890
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Fax | 660-727-6249
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Authorized Official
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Title or Position | ADVISOR
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Name | NICOLE DAVIS
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Credential |
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Telephone | 660-727-6890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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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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