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General NPI Number Information
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NPI Number | 1528011418
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE ANKLE & FOOT CARE CENTER, PLLC
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 04/15/2021
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Provider Practice Location Address
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Address Line | 1701 MIDLAND TRL
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City | SHELBYVILLE
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State | KY
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Zip | 40065-1711
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Country | US
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Telephone | 502-633-3338
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Fax | 502-633-2704
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Provider Business Mailing Address
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Address Line | 1701 MIDLAND TRL
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City | SHELBYVILLE
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State | KY
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Zip | 40065-1711
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Country | US
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Telephone | 502-633-3338
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Fax | 502-633-2704
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Authorized Official
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Title or Position | OWNER
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Name | HEIKO B ADAMS
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Credential | DPM
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Telephone | 502-633-3338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 00286
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 00286
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License Number State | KY
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