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General NPI Number Information
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NPI Number | 1548327059
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Entity Type | Organization
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Legal Business Name | THE FOOT & ANKLE HEALTH CENTER
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3841 BROADWAY
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City | GROVE CITY
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State | OH
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Zip | 43123-2206
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Country | US
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Telephone | 614-875-5233
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Fax | 614-875-1224
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Provider Business Mailing Address
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Address Line | 4694 CEMETERY RD PMB #331
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City | HILLIARD
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State | OH
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Zip | 43026-1124
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Country | US
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Telephone | 614-875-5233
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Fax | 614-875-1224
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Authorized Official
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Title or Position | OWNER
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Name | KYLE HOOGENDOORN
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Credential | DPM
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Telephone | 614-875-5233
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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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