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General NPI Number Information
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NPI Number | 1740980143
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Entity Type | Organization
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Legal Business Name | MOBILE PODIATRY GROUP PLLC
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Dates
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Enumeration Date | 03/06/2023
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 7761 SHAFFER PKWY STE 225
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City | LITTLETON
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State | CO
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Zip | 80127-3729
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Country | US
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Telephone | 720-707-2127
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Fax | 720-823-7462
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Provider Business Mailing Address
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Address Line | 9976 HEATHERWOOD LN
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80126-8102
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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 | OWNER
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Name | DR. CHRISTOPHER SULLIVAN
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Credential | DPM
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Telephone | 978-886-7780
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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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