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General NPI Number Information
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NPI Number | 1982583456
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Entity Type | Organization
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Legal Business Name | PORT TOWNSEND FOOT & ANKLE CENTER
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 20730 BOND RD NE STE 120
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City | POULSBO
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State | WA
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Zip | 98370-9000
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Country | US
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Telephone | 206-819-9605
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Fax |
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Provider Business Mailing Address
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Address Line | 12539 VISTA DR NE
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City | BAINBRIDGE IS
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State | WA
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Zip | 98110-1357
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Country | US
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Telephone | 206-819-9605
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | KIRK D SHERRIS
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Credential | DPM
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Telephone | 206-819-9605
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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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