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General NPI Number Information
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NPI Number | 1386523124
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Entity Type | Organization
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Legal Business Name | PURE MICHIGAN FOOT AND ANKLE PLLC
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 2221 LIVERNOIS RD STE 100
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City | TROY
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State | MI
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Zip | 48083-1603
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Country | US
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Telephone | 248-565-7112
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Fax |
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Provider Business Mailing Address
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Address Line | 2034 LAKE WIND DR
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48324-1823
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Country | US
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Telephone | 248-565-7112
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Fax |
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Authorized Official
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Title or Position | DPM/OWNER
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Name | RANI DABAL
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Credential |
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Telephone | 248-565-7112
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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 |
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License Number State |
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