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General NPI Number Information
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NPI Number | 1386538411
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Entity Type | Organization
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Legal Business Name | ALLEN FOOT AND ANKLE MEDICINE AND SURGERY PLC
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 13634 N 93RD AVE STE 200
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City | PEORIA
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State | AZ
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Zip | 85381-4915
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Country | US
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Telephone | 480-907-7572
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Fax | 480-485-7755
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Provider Business Mailing Address
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Address Line | 2919 S ELLSWORTH RD STE 124
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City | MESA
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State | AZ
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Zip | 85212-2167
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Country | US
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Telephone | 480-866-8366
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN H ALLEN
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Credential | DPM
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Telephone | 480-633-7944
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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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