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General NPI Number Information
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NPI Number | 1659961084
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Entity Type | Organization
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Legal Business Name | EMERALD COAST FOOT AND ANKLE CENTER PLLC
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Dates
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Enumeration Date | 01/20/2021
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 4313 SPANISH TRL
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City | PENSACOLA
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State | FL
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Zip | 32504-4942
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Country | US
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Telephone | 850-660-7778
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Fax | 850-203-4093
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Provider Business Mailing Address
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Address Line | 717 RIO VISTA DR
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City | PENSACOLA BEACH
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State | FL
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Zip | 32561-2275
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | KRISTYN BILLINGS
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Credential |
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Telephone | 412-655-4362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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