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General NPI Number Information
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NPI Number | 1356814248
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Entity Type | Organization
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Legal Business Name | GOFEET ORTHOTICS LLC
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Dates
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Enumeration Date | 01/03/2019
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 103 CLAIR DR STE B
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City | PIEDMONT
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State | SC
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Zip | 29673-6401
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Country | US
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Telephone | 864-252-4377
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Fax |
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Provider Business Mailing Address
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Address Line | 315 LOOPER RD
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City | PELZER
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State | SC
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Zip | 29669-1042
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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/CERTIFIED ORTHOTIST
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Name | JONATHAN DANIEL WHITTEN
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Credential | BOCO
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Telephone | 864-252-4377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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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 | 222Z00000X
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Taxonomy Name | Orthotist
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License Number |
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License Number State |
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