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General NPI Number Information
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NPI Number | 1235744749
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Entity Type | Organization
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Legal Business Name | FOOT AND ANKLE SPECIALISTS OF AMES, LLC
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Dates
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Enumeration Date | 09/11/2020
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Last Update Date | 03/24/2021
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Provider Practice Location Address
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Address Line | 1606 S DUFF AVE STE 500
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City | AMES
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State | IA
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Zip | 50010-8156
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Country | US
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Telephone | 515-444-2390
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Fax |
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Provider Business Mailing Address
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Address Line | 1606 S DUFF AVE STE 500
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City | AMES
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State | IA
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Zip | 50010-8156
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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 | ERIN NELSON
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Credential | DPM
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Telephone | 515-444-2390
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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 | 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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