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General NPI Number Information
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NPI Number | 1316920804
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Entity Type | Organization
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Legal Business Name | CENTERS FOR FOOT & ANKLE CARE LLC
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Dates
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Enumeration Date | 11/29/2005
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 10530 HARRISON AVE STE 1
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City | HARRISON
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State | OH
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Zip | 45030-2142
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Country | US
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Telephone | 513-367-0775
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Fax | 513-367-4714
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Provider Business Mailing Address
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Address Line | 4650 SOUTHWEST HWY
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City | OAK LAWN
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State | IL
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Zip | 60453-1836
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Country | US
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Telephone | 708-424-3201
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Fax | 708-424-5001
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Authorized Official
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Title or Position | CMO
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Name | STEPHEN FRASCONE
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Credential | DPM
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Telephone | 586-725-3444
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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 | 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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Taxonomy #3
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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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