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General NPI Number Information
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NPI Number | 1851622153
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Entity Type | Organization
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Legal Business Name | ROSEBURG FOOT & ANKLE SPECIALISTS, P.C.
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Dates
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Enumeration Date | 01/26/2010
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 1813 W HARVARD AVE STE 542
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City | ROSEBURG
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State | OR
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Zip | 97471-2779
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Country | US
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Telephone | 541-673-7322
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Fax | 541-673-3615
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Provider Business Mailing Address
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Address Line | 1813 W HARVARD AVE STE 542
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City | ROSEBURG
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State | OR
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Zip | 97471-2779
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Country | US
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Telephone | 541-673-7322
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Fax | 541-673-3615
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | JAMIE KARPONTINIS
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Credential |
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Telephone | 541-673-7322
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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 | 273
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License Number State | OR
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