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General NPI Number Information
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NPI Number | 1245154178
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Entity Type | Organization
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Legal Business Name | NEO MOBILE PODIATRY LLC
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 1608 MORRIS ST
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City | MINERAL RIDGE
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State | OH
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Zip | 44440-9795
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Country | US
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Telephone | 702-354-4646
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Fax |
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Provider Business Mailing Address
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Address Line | 1608 MORRIS ST
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City | MINERAL RIDGE
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State | OH
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Zip | 44440-9795
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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 | ANIELA CORDOBA
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Credential | DPM
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Telephone | 702-354-4646
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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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