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General NPI Number Information
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NPI Number | 1487501292
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Entity Type | Organization
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Legal Business Name | CR FOOT & ANKLE LLC
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 4045 E UNION HILLS DR STE 107A
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City | PHOENIX
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State | AZ
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Zip | 85050-3388
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Country | US
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Telephone | 602-354-4506
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Fax |
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Provider Business Mailing Address
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Address Line | 2929 N 75TH AVE STE 15
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City | PHOENIX
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State | AZ
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Zip | 85033-5443
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Country | US
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Telephone | 602-354-4506
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. JORGE GALLARDO JR.
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Credential | DC
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Telephone | 480-203-5632
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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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