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General NPI Number Information
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NPI Number | 1184970121
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Entity Type | Organization
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Legal Business Name | COMPLETE FOOT AND ANKLE SPECIALISTS, LLC
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Dates
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Enumeration Date | 07/27/2012
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 1400 S MAIN ST
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City | BELLEFONTAINE
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State | OH
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Zip | 43311-1581
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Country | US
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Telephone | 937-599-3668
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Fax | 937-599-4852
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Provider Business Mailing Address
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Address Line | 1400 S MAIN ST
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City | BELLEFONTAINE
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State | OH
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Zip | 43311-1581
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Country | US
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Telephone | 937-599-3668
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Fax | 937-599-4852
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. RICHARD FRANKLIN JENNINGS
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Credential | DPM
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Telephone | 614-893-6942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 36.003530
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License Number State | OH
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