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General NPI Number Information
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NPI Number | 1871429043
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Entity Type | Organization
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Legal Business Name | SHERIDAN PODIATRY LLC
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 1842 SUGARLAND DR
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City | SHERIDAN
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State | WY
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Zip | 82801-5775
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Country | US
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Telephone | 307-683-0247
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Fax | 307-224-2293
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Provider Business Mailing Address
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Address Line | PO BOX 5087
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City | SHERIDAN
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State | WY
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Zip | 82801-1387
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Country | US
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Telephone | 307-683-0247
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Fax | 307-224-2293
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVE EDWARD RABON
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Credential | DPM
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Telephone | 307-461-0875
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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 |
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License Number State |
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