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General NPI Number Information
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NPI Number | 1669855334
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Entity Type | Organization
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Legal Business Name | ANP FOOT & ANKLE CLINICS, LLC
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Dates
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Enumeration Date | 06/30/2015
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Last Update Date | 06/30/2015
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Provider Practice Location Address
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Address Line | 208 S C ST
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City | INDIANOLA
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State | IA
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Zip | 50125-2454
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Country | US
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Telephone | 515-961-7114
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Fax | 515-961-9855
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Provider Business Mailing Address
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Address Line | 208 S C ST
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City | INDIANOLA
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State | IA
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Zip | 50125-2454
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Country | US
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Telephone | 515-961-7114
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Fax | 515-961-9855
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Authorized Official
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Title or Position | OWNER
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Name | DR. NAVIN K GUPTA
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Credential | DPM
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Telephone | 515-961-7114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 00508
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License Number State | IA
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