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General NPI Number Information
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NPI Number | 1558897439
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Entity Type | Organization
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Legal Business Name | AZ CHOICE FOOT AND ANKLE
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 201 W GUADALUPE RD STE 318
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City | GILBERT
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State | AZ
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Zip | 85233-3335
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Country | US
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Telephone | 480-632-5757
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Fax | 480-632-5765
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Provider Business Mailing Address
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Address Line | 2730 S VAL VISTA DR SUITE 136
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City | GILBERT
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State | AZ
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Zip | 85295-1675
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Country | US
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Telephone | 480-632-5757
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Fax | 480-632-5765
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER ANDREAS SUYKERBUYK
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Credential | DPM
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Telephone | 480-632-5757
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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 | 728
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License Number State | AZ
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