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General NPI Number Information
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NPI Number | 1700269123
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Entity Type | Individual
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Provider Name | JEAN PRATT DPM
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Gender | Female
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Dates
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Enumeration Date | 07/02/2015
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 1026 GOODYEAR AVE STE 302B
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City | GADSDEN
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State | AL
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Zip | 35903-1194
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Country | US
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Telephone | 256-485-0899
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Fax | 866-265-9563
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Provider Business Mailing Address
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Address Line | 1026 GOODYEAR AVE STE 302B
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City | GADSDEN
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State | AL
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Zip | 35903-1194
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Country | US
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Telephone | 256-485-0899
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Fax | 866-265-9563
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 339
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 135000882
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License Number State | IL
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