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General NPI Number Information
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NPI Number | 1265350888
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Entity Type | Organization
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Legal Business Name | TRAVERSE PODIATRY INC.
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Dates
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Enumeration Date | 07/09/2026
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Last Update Date | 07/09/2026
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Provider Practice Location Address
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Address Line | 3401 N CENTER ST STE 150
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City | LEHI
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State | UT
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Zip | 84043-7501
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Country | US
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Telephone | 563-249-3034
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Fax |
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Provider Business Mailing Address
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Address Line | 3401 N CENTER ST STE 150
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City | LEHI
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State | UT
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Zip | 84043-7501
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Country | US
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Telephone | 563-249-3034
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | STEVEN CRAIG
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Credential |
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Telephone | 563-249-3034
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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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