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General NPI Number Information
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NPI Number | 1922517077
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Entity Type | Organization
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Legal Business Name | NWI FOOT AND ANKLE CLINIC
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Dates
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Enumeration Date | 09/20/2017
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Last Update Date | 10/28/2022
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Provider Practice Location Address
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Address Line | 8733 W 400 N
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City | MICHIGAN CITY
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State | IN
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Zip | 46360-9330
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Country | US
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Telephone | 219-315-4458
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Fax | 866-343-0937
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Provider Business Mailing Address
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Address Line | 2338 DIVAC DR
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City | SCHERERVILLE
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State | IN
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Zip | 46375-4304
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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 | PRESIDENT
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Name | DR. HARDEEP S MINHAS
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Credential | DPM
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Telephone | 847-454-6469
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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 | 016005617
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 07001228A
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License Number State | IN
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