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General NPI Number Information
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NPI Number | 1518778687
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Entity Type | Organization
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Legal Business Name | LEGACY FOOT & ANKLE PLLC
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 441 S LIVERNOIS RD STE 260
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-2593
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Country | US
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Telephone | 248-850-3338
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Fax | 248-850-3339
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Provider Business Mailing Address
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Address Line | 441 S LIVERNOIS RD STE 260
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-2593
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Country | US
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Telephone | 248-850-3338
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Fax | 248-850-3339
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. YOUSSEF MOHAMMAD AOUN
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Credential | DPM
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Telephone | 248-850-3338
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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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