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General NPI Number Information
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NPI Number | 1407377344
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Entity Type | Organization
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Legal Business Name | FUSION FOOT AND ANKLE, LLC
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Dates
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Enumeration Date | 06/30/2017
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 110 E HIGHWAY 6 STE 80
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City | WAUKEE
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State | IA
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Zip | 50263-5006
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Country | US
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Telephone | 515-348-1977
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Fax | 515-348-1976
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Provider Business Mailing Address
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Address Line | 110 US HIGHWAY 6 SUITE 80
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City | WAUKEE
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State | IA
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Zip | 50263
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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 | OFFICE MANAGER
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Name | AFTON HUNZIKER
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Credential |
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Telephone | 515-348-1977
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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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