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General NPI Number Information
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NPI Number | 1225588783
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Entity Type | Organization
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Legal Business Name | SOLE CARE MOBILE PODIATRY, PLLC
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Dates
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Enumeration Date | 10/09/2016
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Last Update Date | 10/14/2021
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Provider Practice Location Address
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Address Line | 16427 N SCOTTSDALE RD STE 434
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-7103
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Country | US
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Telephone | 480-247-6494
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Fax | 480-247-6643
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Provider Business Mailing Address
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Address Line | 11475 E HELM DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-1887
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Country | US
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Telephone | 480-247-6494
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Fax | 480-247-6643
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Authorized Official
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Title or Position | OWNER/PODIATRIST
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Name | DR. RACHEL ANNE JANOWICZ
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Credential | DPM
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Telephone | 503-869-2971
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number | 0829
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License Number State | AZ
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