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General NPI Number Information
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NPI Number | 1700145372
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Entity Type | Organization
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Legal Business Name | PRESTIGE FOOT & ANKLE CENTER LLC
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Dates
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Enumeration Date | 05/16/2012
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 784 MEDINA RD STE # 107
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City | MEDINA
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State | OH
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Zip | 44256-9634
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Country | US
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Telephone | 234-248-4237
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Fax | 330-723-2188
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Provider Business Mailing Address
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Address Line | 784 MEDINA RD STE # 107
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City | MEDINA
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State | OH
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Zip | 44256-9634
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Country | US
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Telephone | 234-248-4237
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Fax | 330-723-2188
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | ALEXANDRA STRICKLAND
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Credential |
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Telephone | 330-242-4808
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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 | 36003592
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License Number State | OH
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