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General NPI Number Information
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NPI Number | 1205417177
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Entity Type | Organization
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Legal Business Name | FOOT & ANKLE SPECIALISTS OF INDIANA
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Dates
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Enumeration Date | 04/21/2021
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 1769 MELODY LANE
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City | GREENFIELD
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State | IN
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Zip | 46140
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Country | US
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Telephone | 317-937-8503
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Fax | 833-906-2372
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Provider Business Mailing Address
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Address Line | PO BOX 39141
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City | INDIANAPOLIS
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State | IN
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Zip | 46239-0141
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Country | US
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Telephone | 317-318-9926
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | TONIA WALKER
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Credential |
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Telephone | 317-318-9926
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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 |
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License Number State |
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