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General NPI Number Information
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NPI Number | 1245999853
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Entity Type | Organization
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Legal Business Name | NORTH FLORIDA FOOT & ANKLE SPECIALISTS LLC
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Dates
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Enumeration Date | 12/10/2021
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 456 SE BAYA DRIVE
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City | LAKE CITY
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State | FL
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Zip | 32025-6020
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Country | US
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Telephone | 352-525-2779
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Fax | 352-525-2794
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Provider Business Mailing Address
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Address Line | 456 SE BAYA DRIVE
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City | LAKE CITY
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State | FL
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Zip | 32025-6020
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Country | US
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Telephone | 352-525-2779
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Fax | 352-525-2794
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | JOSHUA ERIC EPSTEIN
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Credential |
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Telephone | 770-880-9735
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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