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General NPI Number Information
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NPI Number | 1265232631
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Entity Type | Organization
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Legal Business Name | ADVANCED FOOT CARE
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Dates
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Enumeration Date | 03/15/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 3811 E BELL RD STE 207
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City | PHOENIX
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State | AZ
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Zip | 85032-2159
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Country | US
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Telephone | 480-863-6044
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Fax | 602-926-1299
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Provider Business Mailing Address
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Address Line | 20011 N 19TH ST
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City | PHOENIX
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State | AZ
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Zip | 85024-1230
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Country | US
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Telephone | 480-471-6132
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Fax | 480-393-1979
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Authorized Official
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Title or Position | OWNER
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Name | JAMINELLI L BANKS
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Credential | DPM
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Telephone | 214-713-9612
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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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