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General NPI Number Information
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NPI Number | 1376800680
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE FOOT & ANKLE CENTERS
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Dates
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Enumeration Date | 04/12/2012
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 1905 W HEBRON LN SUITE 204
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City | SHEPHERDSVILLE
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State | KY
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Zip | 40165-7465
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Country | US
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Telephone | 502-797-3338
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Fax | 502-919-7710
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Provider Business Mailing Address
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Address Line | PO BOX 825159
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City | PHILADELPHIA
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State | PA
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Zip | 19182-5159
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Country | US
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Telephone | 502-797-3338
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Fax | 502-957-1731
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Authorized Official
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Title or Position | D.P.M./OWNER
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Name | CHRISTOPHER HUBBARD
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Credential | D.P.M.
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Telephone | 502-797-3338
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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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