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General NPI Number Information
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NPI Number | 1497628846
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Entity Type | Organization
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Legal Business Name | GRACE FOOT AND ANKLE, PLLC
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 144 OLD TOWN BLVD N STE 2
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City | LANTANA
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State | TX
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Zip | 76226-3994
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Country | US
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Telephone | 940-464-4514
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Fax |
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Provider Business Mailing Address
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Address Line | 144 OLD TOWN BLVD N STE 2
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City | LANTANA
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State | TX
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Zip | 76226-3994
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Country | US
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Telephone | 940-464-4514
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Fax |
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. SARA SUTTLE
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Credential | DPM
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Telephone | 713-301-1272
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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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