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NPI 1205418241

NPI 1205418241 : ARVADA FOOT AND ANKLE PLLC : ARVADA, CO

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General NPI Number Information
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    NPI Number           |    1205418241
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARVADA FOOT AND ANKLE PLLC 
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Dates
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    Enumeration Date     |    04/27/2021
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    Last Update Date     |    09/12/2022
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Provider Practice Location Address
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    Address Line         |    5730 WARD RD STE 202 
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    City                 |    ARVADA
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    State                |    CO
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    Zip                  |    80002-1300
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    Country              |    US
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    Telephone            |    720-390-5299
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5730 WARD RD STE 202 
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    City                 |    ARVADA
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    State                |    CO
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    Zip                  |    80002-1300
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    Country              |    US
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    Telephone            |    720-390-5299
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ANKURPREET S GILL 
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    Credential           |    
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    Telephone            |    510-325-9315
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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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Taxonomy #2
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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 #3
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    Taxonomy Code        |    335E00000X
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    Taxonomy Name        |    Prosthetic/Orthotic Supplier
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    261QP1100X
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    Taxonomy Name        |    Podiatric Clinic/Center
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    License Number       |    
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    License Number State |    
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