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General NPI Number Information
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NPI Number | 1982594883
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Entity Type | Organization
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Legal Business Name | BALANCE FOOT AND ANKLE, LLC
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 5445 DETROIT RD STE 102
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City | SHEFFIELD VILLAGE
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State | OH
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Zip | 44054-3909
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Country | US
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Telephone | 216-658-0111
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Fax | 216-658-0110
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Provider Business Mailing Address
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Address Line | 14200 MADISON AVE
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City | LAKEWOOD
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State | OH
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Zip | 44107-4510
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Country | US
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Telephone | 216-658-0111
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Fax | 216-658-0110
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Authorized Official
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Title or Position | CEO
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Name | DR. JENNIFER LYNNE PREZIOSO
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Credential | DPM
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Telephone | 216-658-0111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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