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General NPI Number Information
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NPI Number | 1013821149
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Entity Type | Organization
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Legal Business Name | PODIATRY ASSOCIATES OF BURLESON
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 11807 SOUTH FWY STE 361
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City | BURLESON
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State | TX
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Zip | 76028-7045
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Country | US
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Telephone | 817-704-4223
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Fax | 817-984-3970
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Provider Business Mailing Address
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Address Line | 4202 SPRING LAKE PKWY
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City | MANSFIELD
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State | TX
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Zip | 76063-5861
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Country | US
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Telephone | 817-704-4223
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Fax | 817-984-3970
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | RUDY SALANO
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Credential |
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Telephone | 817-704-4223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | NULL
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