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General NPI Number Information
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NPI Number | 1922816941
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Entity Type | Organization
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Legal Business Name | SOLE FOOT & ANKLE SPECIALISTS, LLC
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Dates
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Enumeration Date | 12/23/2024
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 68 N HIGH ST STE 150
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City | NEW ALBANY
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State | OH
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Zip | 43054-8915
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Country | US
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Telephone | 614-741-4001
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Fax |
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Provider Business Mailing Address
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Address Line | 68 N HIGH ST STE 150
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City | NEW ALBANY
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State | OH
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Zip | 43054-8915
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Country | US
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Telephone | 614-741-4001
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Fax | 614-656-7065
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Authorized Official
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Title or Position | OWNER
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Name | JANIE STARAVECKA
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Credential | DPM
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Telephone | 614-432-1777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number |
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License Number State |
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