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General NPI Number Information
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NPI Number | 1437962479
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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 | 01/31/2025
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 11851 N 51ST AVE STE E140
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City | GLENDALE
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State | AZ
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Zip | 85304-2844
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Country | US
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Telephone | 480-378-3388
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Fax |
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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 | 480-633-7944
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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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