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NPI 1235011958

NPI 1235011958 : PROGRESSIVE FEET LLC : GREENBELT, MD

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General NPI Number Information
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    NPI Number           |    1235011958
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    Entity Type          |    Organization 
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    Legal Business Name  |    PROGRESSIVE FEET LLC 
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Dates
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    Enumeration Date     |    07/23/2025
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    Last Update Date     |    12/05/2025
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Provider Practice Location Address
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    Address Line         |    7525 GREENWAY CENTER DR STE 106 
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    City                 |    GREENBELT
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    State                |    MD
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    Zip                  |    20770-3525
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    Country              |    US
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    Telephone            |    240-297-9004
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    Fax                  |    240-297-9105
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Provider Business Mailing Address
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    Address Line         |    6130 OXON HILL RD STE 305 
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    City                 |    OXON HILL
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    State                |    MD
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    Zip                  |    20745-3168
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ARASH ARI CHANGIZI 
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    Credential           |    DPM
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    Telephone            |    301-567-5005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213EP1101X
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    Taxonomy Name        |    Primary Podiatric Medicine Podiatrist
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    License Number       |    
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    License Number State |    
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