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NPI 1023467586

NPI 1023467586 : ZUBEEN MISTRY DPM : PLANO, TX

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General NPI Number Information
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    NPI Number           |    1023467586
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    Entity Type          |    Individual 
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    Provider Name        |    ZUBEEN MISTRY DPM
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/06/2016
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    Last Update Date     |    12/13/2021
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Provider Practice Location Address
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    Address Line         |    4508 LEGACY DR STE 200 
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75024-2189
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    Country              |    US
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    Telephone            |    469-551-8595
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    Fax                  |    469-242-9656
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Provider Business Mailing Address
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    Address Line         |    9720 COIT RD STE 220-224 
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75025-5833
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    Country              |    US
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    Telephone            |    469-551-8595
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    Fax                  |    469-242-9656
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    T30-2016
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    213ES0131X
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    Taxonomy Name        |    Foot Surgery Podiatrist
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    License Number       |    2379
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    License Number State |    TX
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