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General NPI Number Information
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NPI Number | 1972407534
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Entity Type | Organization
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Legal Business Name | HEALING SOLES ORTHOTICS LLC DBA FOOT SOLUTIONS
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 513 E COLISEUM BLVD
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City | FORT WAYNE
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State | IN
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Zip | 46805-1215
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Country | US
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Telephone | 260-484-8966
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 WOODSIDE CIR
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City | FRANKLIN
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State | IN
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Zip | 46131-9240
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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/ PARTNER
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Name | LEEANN BOYANOWSKI
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Credential |
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Telephone | 317-412-3463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State | NULL
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