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General NPI Number Information
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NPI Number | 1235119983
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Entity Type | Organization
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Legal Business Name | STERLING FOOT & ANKLE CTR PC
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 10/24/2011
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Provider Practice Location Address
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Address Line | 101 PARK ST
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City | STERLING
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State | CO
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Zip | 80751-4134
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Country | US
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Telephone | 970-571-2547
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Fax |
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Provider Business Mailing Address
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Address Line | 1127 CEDAR RIDGE DR
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City | EUGENE
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State | OR
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Zip | 97401-1916
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Country | US
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Telephone | 970-571-2547
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DARRIN LEE DALLEGGE
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Credential | DPM
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Telephone | 970-522-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number |
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License Number State | CO
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