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General NPI Number Information
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NPI Number | 1356267926
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Entity Type | Organization
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Legal Business Name | FOOT CARE CENTER LLC
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 2825 STOCKYARD RD STE J1
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City | MISSOULA
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State | MT
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Zip | 59808-1548
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Country | US
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Telephone | 406-543-5333
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 843465
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City | LOS ANGELES
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State | CA
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Zip | 90084-3465
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CRAIG J MCLAWS
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Credential |
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Telephone | 406-252-5444
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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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Taxonomy #3
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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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