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General NPI Number Information
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NPI Number | 1043494586
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Entity Type | Organization
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Legal Business Name | PHYSICIAN SPECIALTY CARE SERVICES
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Dates
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Enumeration Date | 12/19/2007
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Last Update Date | 12/19/2007
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Provider Practice Location Address
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Address Line | 1326 PIN OAK RD
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City | KATY
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State | TX
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Zip | 77494-6848
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Country | US
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Telephone | 281-392-5558
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Fax | 281-392-5582
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Provider Business Mailing Address
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Address Line | 1326 PIN OAK RD
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City | KATY
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State | TX
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Zip | 77494-6848
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Country | US
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Telephone | 281-392-5558
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Fax | 281-392-5582
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | TINA LASKOSKIE
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Credential |
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Telephone | 281-392-5558
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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 | 1546
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License Number State | TX
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