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General NPI Number Information
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NPI Number | 1992000426
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Entity Type | Organization
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Legal Business Name | NEXT STEP FOOT AND ANKLE CENTERS, INC
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Dates
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Enumeration Date | 01/13/2011
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 1181 S STATE ROUTE 157 STE 201B
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City | EDWARDSVILLE
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State | IL
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Zip | 62025-3897
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Country | US
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Telephone | 618-307-9015
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Fax | 618-307-9017
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Provider Business Mailing Address
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Address Line | PO BOX 825159
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City | PHILADELPHIA
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State | PA
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Zip | 19182-5159
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Country | US
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Telephone | 618-462-9695
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Fax | 618-462-9651
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Authorized Official
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Title or Position | DPM
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Name | DANIEL JOSEPH THOUVENOT
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Credential |
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Telephone | 618-462-9695
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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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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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