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General NPI Number Information
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NPI Number | 1336234236
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Entity Type | Organization
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Legal Business Name | PERRY REGIONAL FOOT & ANKLE, PSC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 1432 MAIN ST
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City | TELL CITY
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State | IN
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Zip | 47586-1404
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Country | US
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Telephone | 812-547-7482
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Fax | 812-547-7482
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Provider Business Mailing Address
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Address Line | 1432 MAIN ST
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City | TELL CITY
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State | IN
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Zip | 47586-1404
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Country | US
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Telephone | 812-547-7482
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Fax | 812-547-7482
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Authorized Official
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Title or Position | DPM
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Name | DR. DONALD A ROTHRAUFF
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Credential | DPM
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Telephone | 812-547-7482
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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 | 07000753
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License Number State | IN
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