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General NPI Number Information
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NPI Number | 1356293534
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Entity Type | Organization
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Legal Business Name | FRIENDLY FOOT AND ANKLE, PLLC
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 2743 S HIGLEY RD STE 104 PMB 5023
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City | GILBERT
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State | AZ
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Zip | 85295
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Country | US
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Telephone | 480-869-3833
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Fax |
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Provider Business Mailing Address
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Address Line | 2743 S HIGLEY RD STE 104 PMB 5023
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City | GILBERT
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State | AZ
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Zip | 85295
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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 | CHIEF OPERATING OFFICER
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Name | CALEB WOODSON
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Credential |
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Telephone | 602-758-9282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number |
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License Number State |
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