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General NPI Number Information
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NPI Number | 1588918429
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Entity Type | Organization
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Legal Business Name | INSTRIDE FOOT AND ANKLE SPECIALISTS,PLLC
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Dates
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Enumeration Date | 10/30/2012
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 130 LAKE CONCORD RD NE STE B
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City | CONCORD
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State | NC
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Zip | 28025-1906
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Country | US
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Telephone | 704-786-4482
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Fax | 704-786-0604
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Provider Business Mailing Address
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Address Line | 130 LAKE CONCORD RD NE STE B
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City | CONCORD
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State | NC
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Zip | 28025-1906
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Country | US
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Telephone | 704-786-4482
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Fax | 704-786-0604
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | ELDON PETERS
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Credential |
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Telephone | 919-829-0076
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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 | 443
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 443
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 443
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License Number State | NC
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