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General NPI Number Information
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NPI Number | 1033384912
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Entity Type | Organization
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Legal Business Name | BAY AREA FOOT & ANKLE SPECIALIST, PA
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 11/14/2013
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Provider Practice Location Address
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Address Line | 350 N TEXAS AVE STE B
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City | WEBSTER
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State | TX
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Zip | 77598-4960
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Country | US
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Telephone | 281-338-1166
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Fax | 281-338-4078
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Provider Business Mailing Address
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Address Line | 350 N TEXAS AVE STE B
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City | WEBSTER
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State | TX
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Zip | 77598-4960
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Country | US
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Telephone | 281-338-1166
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Fax | 281-338-4078
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Authorized Official
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Title or Position | DOCTOR
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Name | CHAD C CLAUSE
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Credential | DPM
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Telephone | 281-338-1166
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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 | 1607P
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License Number State | TX
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