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General NPI Number Information
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NPI Number | 1538002142
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Entity Type | Organization
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Legal Business Name | GENTLE FOOTCARE LLC
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Dates
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Enumeration Date | 04/10/2026
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Last Update Date | 04/10/2026
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Provider Practice Location Address
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Address Line | 4913 HARROUN RD STE 1
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City | SYLVANIA
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State | OH
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Zip | 43560-2102
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Country | US
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Telephone | 419-885-4471
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Fax | 614-237-5220
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Provider Business Mailing Address
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Address Line | 7620 OLENTANGY RIVER RD
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City | COLUMBUS
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State | OH
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Zip | 43235-1363
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Country | US
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Telephone | 614-239-9444
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Fax | 614-237-5220
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Authorized Official
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Title or Position | CRED MGR
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Name | THERESA M FAUVER
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Credential |
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Telephone | 440-357-8418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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