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General NPI Number Information
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NPI Number | 1235477233
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Entity Type | Organization
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Legal Business Name | PRESTIGE FOOT & ANKLE, PC
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Dates
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Enumeration Date | 01/25/2013
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 277 E CARMEL DR STE D
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City | CARMEL
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State | IN
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Zip | 46032-2610
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Country | US
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Telephone | 317-846-4111
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Fax | 317-846-1767
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Provider Business Mailing Address
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Address Line | 277 E CARMEL DR STE D
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City | CARMEL
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State | IN
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Zip | 46032-2610
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Country | US
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Telephone | 317-806-8461
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Fax | 317-806-8461
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Authorized Official
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Title or Position | BILLING
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Name | JENNIFER BRINEGAR
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Credential |
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Telephone | 317-869-7031
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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 | 07000947A
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License Number State | IN
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