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General NPI Number Information
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NPI Number | 1497009930
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Entity Type | Organization
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Legal Business Name | INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC
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Dates
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Enumeration Date | 11/06/2012
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Last Update Date | 06/06/2022
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Provider Practice Location Address
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Address Line | 2609 N DUKE ST STE 213
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City | DURHAM
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State | NC
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Zip | 27704-3048
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Country | US
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Telephone | 919-471-1002
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Fax |
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Provider Business Mailing Address
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Address Line | 2609 N DUKE ST STE 213
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City | DURHAM
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State | NC
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Zip | 27704-3048
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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 | PARTNER
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Name | MILLICENT BROWN
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Credential | DPM
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Telephone | 47-886-1918
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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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